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General NPI Number Information
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NPI Number | 1528248283
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Entity Type | Organization
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Legal Business Name | ROBERT N. MERRILL, MD
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Dates
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Enumeration Date | 11/11/2007
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 821 COMMERCIAL ST OAKLAND COMMON
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City | ROCKPORT
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State | ME
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Zip | 04856-4243
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Country | US
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Telephone | 207-596-7148
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Fax |
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Provider Business Mailing Address
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Address Line | 821 COMMERCIAL ST OAKLAND COMMON
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City | ROCKPORT
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State | ME
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Zip | 04856-4243
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Country | US
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Telephone | 207-596-7148
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT N. MERRILL
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Credential | MD
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Telephone | 207-596-7148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12983
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License Number State | ME
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