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General NPI Number Information
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NPI Number | 1003897067
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Entity Type | Individual
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Provider Name | MELISSA BRODSKY MD
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Gender | Female
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 05/16/2014
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Provider Practice Location Address
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Address Line | 230 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1121
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Country | US
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Telephone | 215-762-7922
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Fax | 215-762-8656
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Provider Business Mailing Address
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Address Line | 1500 MARKET STREET 24TH FLOOR-WEST TOWER TENET HEALTH
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City | PHILADELPHIA
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State | PA
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Zip | 19102
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Country | US
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Telephone | 215-255-3828
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Fax | 215-255-3577
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD054953L
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License Number State | PA
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