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General NPI Number Information
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NPI Number | 1598707580
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Entity Type | Individual
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Provider Name | MELVILLE J ACKERMAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 102 BRACKEN RD
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City | MEDFORD
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State | NJ
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Zip | 08055-9164
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Country | US
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Telephone | 856-428-6024
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Fax |
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Provider Business Mailing Address
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Address Line | 102 BRACKEN RD
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City | MEDFORD
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State | NJ
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Zip | 08055-9164
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MA044670
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License Number State | NJ
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