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General NPI Number Information
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NPI Number | 1588665418
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Entity Type | Individual
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Provider Name | MELINDA RENEE ZELLARS D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 20528 BOLAND FARM RD STE 202
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City | GERMANTOWN
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State | MD
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Zip | 20876-4038
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Country | US
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Telephone | 301-232-9000
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Fax | 301-232-5251
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Provider Business Mailing Address
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Address Line | 10845 PHILADELPHIA RD
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City | WHITE MARSH
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State | MD
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Zip | 21162-1717
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Country | US
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Telephone | 410-335-0008
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Fax | 410-335-3113
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | PO1000055
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 01367
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License Number State | MD
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