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General NPI Number Information
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NPI Number | 1558325175
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Entity Type | Individual
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Provider Name | MELANIE A PARKER MD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 6312 SW CAPITOL HWY # 502
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City | PORTLAND
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State | OR
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Zip | 97239-1938
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Country | US
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Telephone | 503-464-9034
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Fax |
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Provider Business Mailing Address
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Address Line | 6312 SW CAPITOL HWY # 502
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City | PORTLAND
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State | OR
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Zip | 97239-1938
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Country | US
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Telephone | 503-464-9034
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD24755
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License Number State | OR
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