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General NPI Number Information
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NPI Number | 1598184475
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Entity Type | Individual
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Provider Name | ROSHAN THADANI MELVANI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/08/2014
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 12677 HESPERIA RD STE 140
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City | VICTORVILLE
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State | CA
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Zip | 92395-7735
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Country | US
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Telephone | 760-962-1150
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Fax | 760-962-1155
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Provider Business Mailing Address
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Address Line | 12677 HESPERIA RD STE 140
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City | VICTORVILLE
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State | CA
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Zip | 92395-7735
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Country | US
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Telephone | 760-962-1150
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Fax | 760-962-1155
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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 | ME143651
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License Number State | FL
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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 | 0101266844
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A168004
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License Number State | CA
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