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General NPI Number Information
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NPI Number | 1306228937
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Entity Type | Individual
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Provider Name | NATHANIEL MELTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 205 S FRONT ST FL 4
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City | HARRISBURG
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State | PA
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Zip | 17104-1619
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Country | US
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Telephone | 717-231-8555
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Fax |
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Provider Business Mailing Address
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Address Line | 103 MOUNTAIN VIEW DR
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City | YORK
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State | PA
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Zip | 17404-8200
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Country | US
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Telephone | 443-398-1686
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MT209546
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License Number State | PA
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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 | MD470278
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License Number State | PA
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