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General NPI Number Information
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NPI Number | 1770526766
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Entity Type | Individual
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Provider Name | MIGDALIA MERIDA MD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 36739 STATE ROAD 52 101
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City | DADE CITY
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State | FL
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Zip | 33525-5101
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Country | US
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Telephone | 352-437-5970
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Fax | 352-437-5998
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Provider Business Mailing Address
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Address Line | 36739 STATE ROAD 52 101
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City | DADE CITY
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State | FL
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Zip | 33525-5101
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Country | US
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Telephone | 352-437-5970
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Fax | 352-437-5998
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME74618
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD60417663
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME74618
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License Number State | FL
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