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General NPI Number Information
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NPI Number | 1760437867
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Entity Type | Organization
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Legal Business Name | NOOR M. MERCHANT MD & ASSOCIATES PA
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 13060 US HWY# 1 STE A
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City | SEBASTIAN
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State | FL
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Zip | 32958
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Country | US
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Telephone | 772-589-0879
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Fax | 772-589-1935
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Provider Business Mailing Address
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Address Line | 13060 US HWY# 1 SUITE A
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City | SEBASTIAN
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State | FL
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Zip | 32958
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Country | US
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Telephone | 772-589-0879
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Fax | 772-589-1935
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SUKAYNA MERCHANT
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Credential |
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Telephone | 772-589-0879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 800019720
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License Number State | FL
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