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General NPI Number Information
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NPI Number | 1649381856
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Entity Type | Individual
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Provider Name | OLGA MELENDEZ-MARTINEZ MD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | HOSPITAL RYDER
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 787-923-3246
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9097 PLAZA CAROLINA MALL
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City | CAROLINA
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State | PR
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Zip | 00988-9097
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Country | US
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Telephone | 787-923-3246
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Fax | 787-754-7529
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 7167
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License Number State | PR
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