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General NPI Number Information
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NPI Number | 1689749863
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Entity Type | Organization
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Legal Business Name | JAMES W MELISI M.D., F.A.C.S., PLLC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 8316 ARLINGTON BLVD SUITE 640
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City | FAIRFAX
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State | VA
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Zip | 22031-5207
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Country | US
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Telephone | 703-208-0820
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Fax |
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Provider Business Mailing Address
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Address Line | 8316 ARLINGTON BLVD SUITE 640
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City | FAIRFAX
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State | VA
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Zip | 22031-5207
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Country | US
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Telephone | 703-208-0820
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES W MELISI
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Credential | M.D., F.A.C.S.
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Telephone | 703-208-0820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 0101048997
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License Number State | VA
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