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General NPI Number Information
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NPI Number | 1548241722
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Entity Type | Individual
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Provider Name | MELANIE G. OBLENDER M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 3615 19TH ST W322
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City | LUBBOCK
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State | TX
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Zip | 79410-1203
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Country | US
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Telephone | 806-725-2263
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Fax | 806-723-7768
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Provider Business Mailing Address
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Address Line | 3420 22ND PL
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City | LUBBOCK
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State | TX
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Zip | 79410-1314
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Country | US
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Telephone | 806-725-5844
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Fax | 806-723-6532
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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 | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | G3660
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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License Number | G3660
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License Number State | TX
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