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General NPI Number Information
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NPI Number | 1902420300
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Entity Type | Individual
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Provider Name | ERIC MERRILL
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Gender | Male
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 12/27/2025
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Provider Practice Location Address
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Address Line | 50 N MEDICAL DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84132-0001
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Country | US
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Telephone | 801-244-7459
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Fax |
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Provider Business Mailing Address
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Address Line | 6196 W DRY CREEK CIR
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City | HIGHLAND
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State | UT
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Zip | 84003-3000
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Country | US
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Telephone | 801-244-7459
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 9257842-4402
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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