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General NPI Number Information
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NPI Number | 1538308382
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Entity Type | Organization
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Legal Business Name | SARIMELLMAN.COM INC.
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Dates
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Enumeration Date | 02/17/2009
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Last Update Date | 02/17/2009
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Provider Practice Location Address
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Address Line | 685 GOLDEN BEACH DR
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City | GOLDEN BEACH
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State | FL
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Zip | 33160-2228
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Country | US
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Telephone | 305-682-9418
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Fax | 305-933-9326
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Provider Business Mailing Address
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Address Line | 685 GOLDEN BEACH DR
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City | GOLDEN BEACH
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State | FL
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Zip | 33160-2228
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Country | US
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Telephone | 305-682-9418
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Fax | 305-933-9326
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEON DANZIGER MELLMAN
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Credential | B.S. NUTRITION, D.C.
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Telephone | 305-682-9418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | CH8735
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License Number State | FL
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