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General NPI Number Information
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NPI Number | 1184681934
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Entity Type | Individual
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Provider Name | MERRY A BRANTLEY AUD
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Gender | Female
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | ONE AYRES CIRCLE, BUILDING H-1, PORTSMOUTH NAVAL SHIPYD NAVAL HEALTH CARE NEW ENGLAND, BRANCH CLINIC
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City | PORTSMOUTH
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State | NH
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Zip | 03804-5000
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Country | US
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Telephone | 207-438-2081
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Fax | 207-438-1754
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Provider Business Mailing Address
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Address Line | ONE AYRES CIRCLE, BUILDING H-1, PORTSMOUTH NAVAL SHIPYD NAVAL HEALTH CARE NEW ENGLAND, BRANCH CLINIC
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City | PORTSMOUTH
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State | NH
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Zip | 03804-5000
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Country | US
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Telephone | 207-438-2081
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Fax | 207-438-1754
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A404
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License Number State | NH
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