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General NPI Number Information
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NPI Number | 1356504732
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Entity Type | Organization
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Legal Business Name | EDWARD MELMAN, O.D.
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 08/19/2010
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Provider Practice Location Address
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Address Line | 1001 LAUREL OAK RD SUITE A-1
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City | VOORHEES
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State | NJ
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Zip | 08043-3512
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Country | US
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Telephone | 856-783-1040
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Fax | 856-783-6611
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Provider Business Mailing Address
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Address Line | 1001 LAUREL OAK RD SUITE A-1
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City | VOORHEES
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State | NJ
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Zip | 08043-3512
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Country | US
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Telephone | 856-783-1040
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Fax | 856-783-6611
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. EDWARD HARRIS MELMAN
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Credential | O.D.
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Telephone | 856-783-1041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00415300
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License Number State | NJ
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