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General NPI Number Information
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NPI Number | 1497052773
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Entity Type | Organization
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Legal Business Name | MURRAY HILL DENTAL - MELISSA S. BROWN, D.D.S., LLC
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 02/22/2011
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Provider Practice Location Address
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Address Line | 98 N MURRAY HILL RD
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City | COLUMBUS
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State | OH
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Zip | 43228-1524
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Country | US
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Telephone | 614-878-1188
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Fax | 614-878-4723
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Provider Business Mailing Address
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Address Line | 98 N MURRAY HILL RD
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City | COLUMBUS
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State | OH
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Zip | 43228-1524
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Country | US
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Telephone | 614-878-1188
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Fax | 614-878-4723
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Authorized Official
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Title or Position | PRESIDENT/DENTIST
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Name | DR. MELISSA S BROWN
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Credential | D.D.S.
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Telephone | 614-878-1188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 21933
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License Number State | OH
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