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General NPI Number Information
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NPI Number | 1558549105
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Entity Type | Individual
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Provider Name | MELANIE SHEREE SCOTT BOWLING PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 650 PENNSYLVANIA AVE SE STE 330
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City | WASHINGTON
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State | DC
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Zip | 20003-4397
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Country | US
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Telephone | 202-610-9570
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 SOUTHERN AVE SE STE 105
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City | WASHINGTON
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State | DC
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Zip | 20032-4623
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Country | US
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Telephone | 202-574-6093
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Fax | 202-373-5956
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA30100
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License Number State | DC
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