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General NPI Number Information
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NPI Number | 1568800431
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Entity Type | Individual
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Provider Name | TRISTAN MELE DO
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Gender | Male
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 18523 CORWIN RD STE A
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2300
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Country | US
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Telephone | 909-712-2764
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 741729
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City | ATLANTA
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State | GA
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Zip | 30374-1729
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 11732540-1204
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 20A24049
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License Number State | CA
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