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General NPI Number Information
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NPI Number | 1861967465
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Entity Type | Individual
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Provider Name | LEAH E MERRICK FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/10/2018
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 975 E 3RD ST # 112
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2173
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Country | US
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Telephone | 423-778-7817
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Fax |
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Provider Business Mailing Address
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Address Line | 815 MORNINGSIDE DR
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City | JOHNSON CITY
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State | TN
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Zip | 37604-3707
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Country | US
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Telephone | 423-833-3452
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 24970
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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