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General NPI Number Information
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NPI Number | 1053511386
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Entity Type | Organization
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Legal Business Name | MERRITT ORTHOPAEDIC ASSOCIATES PC
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 3909 MAIN ST
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City | BRIDGEPORT
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State | CT
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Zip | 06606-2815
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Country | US
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Telephone | 203-372-4565
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Fax |
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Provider Business Mailing Address
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Address Line | 3909 MAIN ST
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City | BRIDGEPORT
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State | CT
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Zip | 06606-2815
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Country | US
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Telephone | 203-372-4565
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK JAMES CAROLAN
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Credential | MD
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Telephone | 203-372-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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