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General NPI Number Information
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NPI Number | 1619924206
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Entity Type | Individual
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Provider Name | MELODY C. DENSON DO
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Gender | Female
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 505 S 336TH STREET SUITE 600 NORTHWEST EMERGENCY PHYSICIANS OF TEAM HEALTH
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City | FEDERAL WAY
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State | WA
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Zip | 98003
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Country | US
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Telephone | 800-336-8614
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 634706
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City | CINCINNATI
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State | OH
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Zip | 45263-4706
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 1559
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 60066655
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License Number State | WA
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