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NPI 1821150830

NPI 1821150830 : SCOTT JACOB MERZ D.C. : LAKE WORTH, FL

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General NPI Number Information
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    NPI Number           |    1821150830
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    Entity Type          |    Individual 
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    Provider Name        |    SCOTT JACOB MERZ D.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/15/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    4259 10TH AVE N 
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    City                 |    LAKE WORTH
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    State                |    FL
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    Zip                  |    33461-2310
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    Country              |    US
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    Telephone            |    561-966-8800
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    Fax                  |    561-439-2300
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Provider Business Mailing Address
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    Address Line         |    1546 PRIMROSE LN 
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    City                 |    WELLINGTON
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    State                |    FL
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    Zip                  |    33414-8617
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    CH7154
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    License Number State |    FL
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