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General NPI Number Information
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NPI Number | 1093534059
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Entity Type | Individual
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Provider Name | MELONIE G LEWIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 200 NW 7TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33311-9026
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Country | US
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Telephone | 954-759-6616
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 SOLANO AVE APT 202
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City | HOLLYWOOD
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State | FL
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Zip | 33024-3787
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Country | US
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Telephone | 754-332-9683
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 64550
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License Number State | FL
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