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General NPI Number Information
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NPI Number | 1366179103
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Entity Type | Organization
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Legal Business Name | MELINIO EDGE, LLC
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 7540 S STATE HIGHWAY 121 STE 200
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City | MCKINNEY
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State | TX
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Zip | 75070-6851
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Country | US
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Telephone | 469-848-0194
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Fax |
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Provider Business Mailing Address
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Address Line | 7540 S STATE HIGHWAY 121 STE 200
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City | MCKINNEY
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State | TX
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Zip | 75070-6851
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Country | US
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Telephone | 469-848-0194
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER/OWNER
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Name | ELVAN JONES
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Credential |
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Telephone | 469-400-6888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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