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General NPI Number Information
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NPI Number | 1689955510
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Entity Type | Organization
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Legal Business Name | DR. ZEV MELLMAN P.A
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 10368 W STATE ROAD 84 STE 105
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City | DAVIE
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State | FL
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Zip | 33324-4243
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Country | US
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Telephone | 954-433-3886
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Fax |
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Provider Business Mailing Address
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Address Line | 10368 W STATE ROAD 84 STE 105
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City | DAVIE
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State | FL
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Zip | 33324-4243
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Country | US
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Telephone | 954-433-3886
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ZEV HARRY MELLMAN
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Credential | D.C
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Telephone | 954-433-3886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH9524
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License Number State | FL
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