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General NPI Number Information
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NPI Number | 1598755241
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Entity Type | Individual
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Provider Name | MELISSA M YUNG CNM
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Gender | Female
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 12/09/2011
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Provider Practice Location Address
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Address Line | 1010 JOHNSON FERRY RD
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City | MARIETTA
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State | GA
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Zip | 30068-2108
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Country | US
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Telephone | 770-973-7302
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Fax | 770-973-6692
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Provider Business Mailing Address
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Address Line | 1010 JOHNSON FERRY RD
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City | MARIETTA
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State | GA
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Zip | 30068-2108
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Country | US
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Telephone | 770-973-7302
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Fax | 770-973-6692
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | RN139657
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License Number State | GA
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