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General NPI Number Information
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NPI Number | 1548307622
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Entity Type | Individual
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Provider Name | MELISSA DWORKIN MD
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 800 2ND AVE 6TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10017-4709
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Country | US
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Telephone | 212-686-6066
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Fax | 212-779-7724
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Provider Business Mailing Address
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Address Line | 800 2ND AVE 6TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10017-4709
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Country | US
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Telephone | 212-686-6066
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Fax | 212-779-7724
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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 | 208970
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License Number State | NY
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