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General NPI Number Information
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NPI Number | 1396716114
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Entity Type | Individual
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Provider Name | ELAINE MELISSA KAIME M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 10121 PINE AVENUE TAHOE FOREST CANCER CENTER
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City | TRUCKEE
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State | CA
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Zip | 96161
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Country | US
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Telephone | 530-582-6450
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3974
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City | TRUCKEE
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State | CA
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Zip | 96160-3974
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Country | US
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Telephone | 240-575-8235
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | DR.0037506
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | GFE060114
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License Number State | CA
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