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General NPI Number Information
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NPI Number | 1053434696
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Entity Type | Organization
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Legal Business Name | MERITZ PSYCHIATRIC ASSOCIATES
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9896 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19115-5202
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Country | US
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Telephone | 215-934-3067
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Fax | 215-464-4763
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Provider Business Mailing Address
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Address Line | 2865 S EAGLE RD #379
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City | NEWTOWN
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State | PA
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Zip | 18940-1546
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Country | US
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Telephone | 215-579-7985
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Fax | 215-579-7988
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARY MERITZ
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Credential | D.O.
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Telephone | 215-579-7985
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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 |
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License Number State |
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