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General NPI Number Information
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NPI Number | 1891085213
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Entity Type | Organization
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Legal Business Name | JOHN J. MERENDINO, JR., M.D., PA
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Dates
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Enumeration Date | 04/19/2011
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 10215 FERNWOOD RD SUITE 405
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City | BETHESDA
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State | MD
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Zip | 20814
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Country | US
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Telephone | 301-230-0300
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Fax | 301-230-0314
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Provider Business Mailing Address
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Address Line | 10215 FERNWOOD ROAD SUITE 405
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City | BETHESDA
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State | MD
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Zip | 20817
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Country | US
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Telephone | 301-230-0300
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Fax | 301-230-0314
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN J MERENDINO JR.
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Credential | M.D.,PA
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Telephone | 301-230-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | D36046
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License Number State | MD
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