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General NPI Number Information
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NPI Number | 1639488356
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Entity Type | Organization
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Legal Business Name | MELVYN G DREW MD PA
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 6610 EMBASSY BLVD STE C
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City | PORT RICHEY
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State | FL
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Zip | 34668-4897
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Country | US
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Telephone | 727-848-2233
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Fax | 727-847-4945
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Provider Business Mailing Address
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Address Line | 6610 EMBASSY BLVD STE C
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City | PORT RICHEY
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State | FL
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Zip | 34668-4897
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Country | US
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Telephone | 727-848-2233
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Fax | 727-847-4945
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Authorized Official
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Title or Position | PRESIDENT
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Name | LYDIA DREW
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Credential |
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Telephone | 727-848-2233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0027967
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License Number State | FL
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