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General NPI Number Information
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NPI Number | 1467265934
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Entity Type | Individual
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Provider Name | MELINDA CHEN ERICKSON OTC
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 2860 RONALD REAGAN BLVD STE 300
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City | CUMMING
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State | GA
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Zip | 30041-6290
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Country | US
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Telephone | 404-325-8584
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Fax |
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Provider Business Mailing Address
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Address Line | 400 FORESTGATE CT
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-2909
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Country | US
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Telephone | 678-325-8584
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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 | 246ZX2200X
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Taxonomy Name | Orthopedic Assistant
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License Number |
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License Number State | GA
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