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General NPI Number Information
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NPI Number | 1427054659
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Entity Type | Individual
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Provider Name | CRAIG MEROLA MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 270-05 76TH AVENUE DEPARTMENT OF ANESTHESIA
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City | NEW HYDE PARK
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State | NY
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Zip | 11040
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Country | US
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Telephone | 718-470-7390
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Fax | 718-470-6307
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Provider Business Mailing Address
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Address Line | 68 SOUTH SERVICE ROAD, SUITE 350 NORTH AMERICAN PARTNERS IN ANESTHESIA, LLP
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City | MELVILLE
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State | NY
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Zip | 11747-0000
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Country | US
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Telephone | 516-945-3000
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Fax | 516-945-3131
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 173510
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License Number State | NY
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