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General NPI Number Information
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NPI Number | 1659552958
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Entity Type | Organization
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Legal Business Name | STEVE SCOTT MELEK
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 17 MAIN AVE PROFESSIONAL BUILDING
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City | LOGAN
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State | WV
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Zip | 25601-3332
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Country | US
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Telephone | 304-752-3338
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Fax | 304-752-0194
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Provider Business Mailing Address
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Address Line | PO BOX 1350
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City | CHAPMANVILLE
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State | WV
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Zip | 25508-1350
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Country | US
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Telephone | 304-752-3338
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Fax | 304-752-0194
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Authorized Official
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Title or Position | OWNER
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Name | STEVE SCOTT MELEK
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Credential |
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Telephone | 304-752-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 269
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 269
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License Number State | WV
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