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General NPI Number Information
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NPI Number | 1215274808
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Entity Type | Individual
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Provider Name | APRIL ELAINE MELA PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/16/2013
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 2571 W EAU GALLIE BLVD SUITE 1
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City | MELBOURNE
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State | FL
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Zip | 32935-8302
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Country | US
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Telephone | 321-752-9722
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Fax |
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Provider Business Mailing Address
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Address Line | 340 EUTAU CT
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-4172
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Country | US
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Telephone | 321-794-0958
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 9106705
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License Number State | FL
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