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General NPI Number Information
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NPI Number | 1023378296
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Entity Type | Organization
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Legal Business Name | ANNE MERRA LLC
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Dates
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Enumeration Date | 05/22/2012
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 10 MARKET PLACE DR
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City | YORK
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State | ME
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Zip | 03909-1680
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Country | US
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Telephone | 207-337-3257
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 204
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City | YORK
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State | ME
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Zip | 03909-0204
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Country | US
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Telephone | 207-337-3257
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/PSYCHIATRIST
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Name | DR. ANNE M MERRA
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Credential | M.D.
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Telephone | 207-337-3257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 9569
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License Number State | NH
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