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General NPI Number Information
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NPI Number | 1417071226
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Entity Type | Individual
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Provider Name | MELISA MULLINS M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 2222 CHERRY ST SUITE 2800
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City | TOLEDO
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State | OH
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Zip | 43608-2675
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Country | US
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Telephone | 419-251-8210
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Fax | 419-251-7700
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Provider Business Mailing Address
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Address Line | 2222 CHERRY ST
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City | TOLEDO
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State | OH
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Zip | 43608-2673
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Country | US
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Telephone | 419-251-8210
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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 | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 4301074662
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 35126161
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License Number State | OH
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