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General NPI Number Information
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NPI Number | 1679806616
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Entity Type | Individual
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Provider Name | LAURA JANE MERRIOTT C.R.N.P
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Gender | Female
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 4402 PEACH ST. SUITE 302
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City | ERIE
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State | PA
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Zip | 16509
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Country | US
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Telephone | 814-866-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 4402 PEACH ST. SUITE 302
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City | ERIE
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State | PA
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Zip | 16509
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Country | US
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Telephone | 814-866-2010
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN334080L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP002262G
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License Number State | PA
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