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General NPI Number Information
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NPI Number | 1033940424
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Entity Type | Individual
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Provider Name | ALEC PETER MELANSON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 08/11/2024
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Provider Practice Location Address
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Address Line | 2301 HOLMES ST
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City | KANSAS CITY
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State | MO
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Zip | 64108-2640
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Country | US
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Telephone | 816-404-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 531 GRAND BLVD UNIT 416
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City | KANSAS CITY
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State | MO
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Zip | 64106-1792
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Country | US
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Telephone | 920-422-3514
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2024032491
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License Number State | MO
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