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General NPI Number Information
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NPI Number | 1437293792
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Entity Type | Individual
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Provider Name | MELVYN GROVIT D.P.M., M.S., C.N.S.
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Gender | Male
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 45 LUDLOW ST SUITE 618
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City | YONKERS
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State | NY
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Zip | 10705-1947
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Country | US
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Telephone | 914-476-1544
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Fax | 914-771-4040
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Provider Business Mailing Address
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Address Line | 14 CHANNING PL 2L
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City | EASTCHESTER
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State | NY
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Zip | 10709-1033
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Country | US
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Telephone | 914-337-7419
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Fax | 914-771-4040
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 000115-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | N002070-1
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License Number State | NY
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