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General NPI Number Information
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NPI Number | 1164999512
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Entity Type | Organization
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Legal Business Name | MELOREJUVENATIONSMELOWEIGHTLOSS LLC (DBA) BEST PHARMACY
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 6495 NEW HAMPSHIRE AV SUITE # B130
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City | HYATTSVILLE
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State | MD
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Zip | 20783
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Country | US
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Telephone | 301-494-2146
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Fax | 301-494-2143
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Provider Business Mailing Address
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Address Line | 6495 NEW HAMPSHIRE AV SUITE # B130
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City | HYATTSVILLE
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State | MD
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Zip | 20783
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Country | US
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Telephone | 301-494-2146
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Fax | 301-494-2143
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Authorized Official
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Title or Position | OWNER
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Name | MELO FORCHU
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Credential |
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Telephone | 301-366-8848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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