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General NPI Number Information
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NPI Number | 1003882978
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Entity Type | Individual
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Provider Name | MELODIE M ICASIANO MD
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Gender | Female
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CENTER BLDG 9040 FITZSIMMONS DR.
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City | TACOMA
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 253-968-1740
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Fax |
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Provider Business Mailing Address
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Address Line | 100 LANCASTER AVE MOB EAST SUITE 158
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3427
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Country | US
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Telephone | 610-649-2126
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Fax | 610-642-7814
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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 | MD00042886
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License Number State | WA
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