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General NPI Number Information
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NPI Number | 1619962115
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Entity Type | Individual
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Provider Name | MELVIN CHERNE MD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 12/26/2020
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Provider Practice Location Address
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Address Line | 85 SIERRA PARK RD
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City | MAMMOTH LAKES
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State | CA
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Zip | 93546-2073
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Country | US
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Telephone | 760-924-4070
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Fax | 760-924-4207
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Provider Business Mailing Address
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Address Line | PO BOX 15648
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City | SACRAMENTO
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State | CA
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Zip | 95852-0648
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Country | US
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Telephone | 951-781-2270
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Fax | 951-781-2293
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G53555
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License Number State | CA
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