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General NPI Number Information
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NPI Number | 1811238124
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Entity Type | Individual
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Provider Name | FURVA MERCHANT
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Gender | Female
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 28300 FRANKLIN RD STE 100
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1657
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Country | US
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Telephone | 248-973-3660
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Fax |
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Provider Business Mailing Address
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Address Line | 6981 PIAZZA ST
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City | ORLANDO
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State | FL
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Zip | 32819-5289
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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 |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9106826
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601009727
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License Number State | MI
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