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General NPI Number Information
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NPI Number | 1184882789
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Entity Type | Individual
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Provider Name | IHOR V MELNYTSKYY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 300 SINGLETON RIDGE ROAD CONWAY MEDICAL CENTER
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City | CONWAY
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State | SC
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Zip | 29526
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Country | US
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Telephone | 843-347-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 SANDGATE CT
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City | NAPERVILLE
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State | IL
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Zip | 60565-2306
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Country | US
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Telephone | 630-946-6885
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Fax | 864-455-1320
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | TL30811
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 81569
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35.130854
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License Number State | OH
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