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General NPI Number Information
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NPI Number | 1447426937
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Entity Type | Organization
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Legal Business Name | MELISSA LANGLEY MD PC
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 250 25TH AVE N STE 307
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City | NASHVILLE
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State | TN
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Zip | 37203-1624
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Country | US
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Telephone | 615-321-1020
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Fax | 615-321-1002
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Provider Business Mailing Address
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Address Line | 250 25TH AVE N STE 307
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City | NASHVILLE
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State | TN
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Zip | 37203-1624
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Country | US
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Telephone | 615-321-1020
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Fax | 615-321-1002
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MELISSA LANGLEY
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Credential | MD
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Telephone | 615-321-1020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD0000021981
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License Number State | TN
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