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General NPI Number Information
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NPI Number | 1316237878
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Entity Type | Organization
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Legal Business Name | R CHRISTINE MELTON MD PC
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Dates
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Enumeration Date | 04/18/2011
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Last Update Date | 04/18/2011
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Provider Practice Location Address
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Address Line | 247 3RD AVE SUITE#202
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City | NEW YORK
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State | NY
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Zip | 10010-7457
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Country | US
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Telephone | 212-475-3791
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Fax | 212-475-5228
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Provider Business Mailing Address
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Address Line | 247 3RD AVE SUITE #202
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City | NEW YORK
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State | NY
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Zip | 10010-7457
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Country | US
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Telephone | 212-475-3791
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Fax | 212-475-5228
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. DONNA CARACCIOLO-WOO
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Credential |
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Telephone | 212-475-3791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 141544
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License Number State | NY
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