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General NPI Number Information
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NPI Number | 1639431208
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Entity Type | Individual
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Provider Name | MELINDA BRON MD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 07/15/2016
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Provider Practice Location Address
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Address Line | 9300 E 29TH ST N SUITE 201
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City | WICHITA
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State | KS
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Zip | 67226-2182
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Country | US
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Telephone | 316-685-1277
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Fax | 316-688-5208
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Provider Business Mailing Address
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Address Line | PO BOX 667
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City | WICHITA
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State | KS
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Zip | 67201-0667
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Country | US
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Telephone | 316-685-1206
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Fax | 316-688-5208
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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 | 04-39235
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License Number State | KS
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