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General NPI Number Information
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NPI Number | 1023193018
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Entity Type | Organization
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Legal Business Name | MARC A. MELSER, MD, PL
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3410 TAMIAMI TRL SUITE 4
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8112
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Country | US
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Telephone | 941-235-7281
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Fax | 941-235-0463
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Provider Business Mailing Address
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Address Line | 3410 TAMIAMI TRL SUITE 4
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8112
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Country | US
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Telephone | 941-235-7281
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Fax | 941-235-0463
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARC A MELSER
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Credential | MD
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Telephone | 941-235-7281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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