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General NPI Number Information
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NPI Number | 1710910864
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Entity Type | Organization
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Legal Business Name | DEBRA K. MERRIMAN, INC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 194 RAINBOW DR # 9427
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City | LIVINGSTON
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State | TX
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Zip | 77399-0001
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Country | US
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Telephone | 937-654-0488
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Fax |
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Provider Business Mailing Address
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Address Line | 194 RAINBOW DR # 9427
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City | LIVINGSTON
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State | TX
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Zip | 77399-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBRA KAYE MERRIMAN
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Credential | CRNA
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Telephone | 937-654-0488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 711997
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License Number State | TX
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