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General NPI Number Information
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NPI Number | 1346624798
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Entity Type | Individual
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Provider Name | DANIEL ERIC MELTON L.AC.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 9414 BRIDGEWATER CT W
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City | FREDERICK
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State | MD
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Zip | 21701-7621
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Country | US
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Telephone | 240-674-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 9414 BRIDGEWATER CT W
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City | FREDERICK
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State | MD
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Zip | 21701-7621
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Country | US
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Telephone | 240-674-3700
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U02174
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License Number State | MD
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