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General NPI Number Information
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NPI Number | 1386749703
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Entity Type | Individual
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Provider Name | MELANIE RENEE ABRAMS DMD
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Gender | Female
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 3438 TAYLOR BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40215-2648
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Country | US
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Telephone | 502-366-4442
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Fax | 502-366-4442
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Provider Business Mailing Address
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Address Line | 1264 EASTERN PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40204-2441
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Country | US
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Telephone | 502-417-9634
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Fax | 502-417-9634
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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 | 8374
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN17636
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12011421A
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License Number State | IN
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