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General NPI Number Information
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NPI Number | 1962530246
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Entity Type | Organization
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Legal Business Name | MERRYMAN & ALLEN LLC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 6569 N CHARLES ST STE 501
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City | BALTIMORE
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State | MD
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Zip | 21204-5808
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Country | US
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Telephone | 410-938-8960
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Fax | 410-583-9770
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Provider Business Mailing Address
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Address Line | 6569 N CHARLES ST STE 501
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City | BALTIMORE
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State | MD
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Zip | 21204-5808
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Country | US
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Telephone | 410-938-8960
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Fax | 410-583-9770
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Authorized Official
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Title or Position | CO-OWNER
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Name | GINNY MERRYMAN
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Credential | MD
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Telephone | 410-938-8960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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