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General NPI Number Information
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NPI Number | 1154385169
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Entity Type | Individual
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Provider Name | MELISSA ANNE TADA OPTOMETRIST
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Gender | Female
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 6071 E WOODMEN RD SUITE 205
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-2607
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Country | US
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Telephone | 719-380-6808
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Fax | 719-380-5656
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Provider Business Mailing Address
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Address Line | 1865 ANASAZI CT
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-3487
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Country | US
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Telephone | 719-380-6808
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Fax | 719-380-5656
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2048
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License Number State | CO
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