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General NPI Number Information
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NPI Number | 1326243338
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Entity Type | Individual
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Provider Name | MELINDA ANDERSON DDS
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Gender | Female
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 4942 ARLINGTON AVE
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City | RIVERSIDE
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State | CA
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Zip | 92504-2708
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Country | US
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Telephone | 951-359-4911
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Fax | 951-351-2013
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Provider Business Mailing Address
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Address Line | PO BOX 6649
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City | SAN BERNARDINO
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State | CA
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Zip | 92412-6649
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Country | US
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Telephone | 951-359-4911
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Fax | 951-351-2013
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 51227
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License Number State | CA
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