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General NPI Number Information
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NPI Number | 1265556054
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Entity Type | Organization
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Legal Business Name | ANTHONY P MERZA MD P C
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Dates
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Enumeration Date | 03/18/2007
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 5145 N CALIFORNIA AVE
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City | CHICAGO
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State | IL
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Zip | 60625-3661
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Country | US
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Telephone | 773-275-8811
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Fax | 773-282-2120
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Provider Business Mailing Address
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Address Line | 5145 N CALIFORNIA AVE
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City | CHICAGO
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State | IL
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Zip | 60625-3661
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Country | US
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Telephone | 773-275-8811
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Fax | 773-282-2120
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY PERA MERZA
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Credential | M.D.
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Telephone | 773-275-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 060005186
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License Number State | IL
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