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General NPI Number Information
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NPI Number | 1518152677
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Entity Type | Individual
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Provider Name | ANAMAR APONTE MELLADO M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 12/12/2018
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Provider Practice Location Address
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Address Line | 301 NW 179TH AVE STE 102
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City | PEMBROKE PINES
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State | FL
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Zip | 33029
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Country | US
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Telephone | 954-447-1446
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Fax | 954-241-4147
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Provider Business Mailing Address
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Address Line | 301 NW 179TH AVE STE 102
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-2817
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Country | US
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Telephone | 954-447-1446
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Fax | 954-241-4147
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME135927
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License Number State | FL
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