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General NPI Number Information
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NPI Number | 1568501922
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Entity Type | Individual
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Provider Name | MELANY RAEDY DO
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 270 PORTLAND WAY S
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City | GALION
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State | OH
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Zip | 44833-2362
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Country | US
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Telephone | 419-462-4630
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Fax | 419-462-4552
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Provider Business Mailing Address
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Address Line | 4001 LINCOLN HWY
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City | BUCYRUS
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State | OH
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Zip | 44820-9648
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Country | US
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Telephone | 419-617-7907
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 34005394
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 34.005394
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License Number State | OH
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