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General NPI Number Information
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NPI Number | 1144699737
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Entity Type | Individual
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Provider Name | MELANIE R SILVERMAN MS, RD, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 09/24/2015
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Last Update Date | 09/24/2015
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Provider Practice Location Address
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Address Line | 3060 ALTA LAGUNA BLVD
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-2064
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Country | US
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Telephone | 949-607-8248
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Fax | 949-272-2365
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Provider Business Mailing Address
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Address Line | 3060 ALTA LAGUNA BLVD
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-2064
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Country | US
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Telephone | 949-607-8248
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Fax | 949-272-2365
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 836825
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-32076
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License Number State | CA
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