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General NPI Number Information
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NPI Number | 1013444751
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Entity Type | Individual
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Provider Name | CAMILLE MERIAN
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Gender | Female
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Dates
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Enumeration Date | 05/12/2017
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Last Update Date | 05/12/2017
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Provider Practice Location Address
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Address Line | 148 WASHINGTON ST
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City | NORWELL
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State | MA
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Zip | 02061-1753
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Country | US
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Telephone | 781-741-5423
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Fax |
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Provider Business Mailing Address
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Address Line | 36 ELM ST
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City | HINGHAM
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State | MA
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Zip | 02043-2435
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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 | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | S92196912
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License Number State | MA
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