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General NPI Number Information
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NPI Number | 1003898735
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Entity Type | Individual
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Provider Name | ROBERT MERRITT CRNA
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Gender | Male
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 25 MONUMENT RD STE 270
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City | YORK
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State | PA
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Zip | 17403
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Country | US
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Telephone | 717-741-8250
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Fax | 717-741-8289
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Provider Business Mailing Address
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Address Line | PO BOX 783497
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City | PHILADELPHIA
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State | PA
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Zip | 19178-3497
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Country | US
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Telephone | 610-395-4044
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Fax | 610-395-5693
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN244350L
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License Number State | PA
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