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NPI 1831260348

NPI 1831260348 : DAVID W. MERENS MD : CHELMSFORD, MA

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General NPI Number Information
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    NPI Number           |    1831260348
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID W. MERENS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/13/2006
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    Last Update Date     |    11/23/2021
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Provider Practice Location Address
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    Address Line         |    228 BILLERICA RD 
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    City                 |    CHELMSFORD
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    State                |    MA
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    Zip                  |    01824-3604
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    Country              |    US
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    Telephone            |    666-697-8250
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    Fax                  |    978-250-6200
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Provider Business Mailing Address
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    Address Line         |    147 MILK ST PROVIDER ENROLLMENT 9TH FLOOR
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02109-4806
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    Country              |    US
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    Telephone            |    
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    MD17766
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    License Number State |    RI
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Taxonomy #2
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    51371
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    License Number State |    MA
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