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General NPI Number Information
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NPI Number | 1306092564
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Entity Type | Individual
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Provider Name | MELANIE GOLDFARB MD
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Gender | Female
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 2121 SANTA MONICA BLVD
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City | SANTA MONICA
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State | CA
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Zip | 90404-2303
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Country | US
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Telephone | 310-829-8751
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Fax | 310-315-6113
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Provider Business Mailing Address
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Address Line | 7660 BEVERLY BLVD APT 247
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City | LOS ANGELES
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State | CA
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Zip | 90036-2752
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Country | US
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Telephone | 323-865-3535
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Fax | 323-865-3539
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | A117052
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A117052
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License Number State | CA
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