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General NPI Number Information
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NPI Number | 1639328305
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Entity Type | Organization
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Legal Business Name | DANIEL J MELKER,D.D.S.
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 28465 U.S. 19 NORTH SUITE 204
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City | CLEARWATER
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State | FL
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Zip | 33761
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Country | US
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Telephone | 727-725-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 28465 U.S. 19 N. SUITE 204
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City | CLEARWATER
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State | FL
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Zip | 33761
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Country | US
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Telephone | 727-725-0100
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. JILL A NORDEN
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Credential |
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Telephone | 727-725-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DN6067
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License Number State | FL
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