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General NPI Number Information
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NPI Number | 1508663246
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Entity Type | Organization
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Legal Business Name | MELINA DIAZ PC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 306 WHITE SPRINGS LN
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-6504
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Country | US
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Telephone | 888-651-7732
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Fax |
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Provider Business Mailing Address
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Address Line | 306 WHITE SPRINGS LN
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-6504
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Country | US
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Telephone | 888-651-7732
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MELINA DIAZ-CARDENAS
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Credential | MD
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Telephone | 770-560-4113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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