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General NPI Number Information
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NPI Number | 1710277462
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Entity Type | Individual
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Provider Name | MELISSA GEORGENSON DRAKE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/14/2011
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 427 W PUEBLO ST STE B
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City | SANTA BARBARA
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State | CA
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Zip | 93105-6206
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Country | US
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Telephone | 805-455-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 227 CONSTANCE LN
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City | SANTA BARBARA
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State | CA
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Zip | 93105-3519
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Country | US
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Telephone | 805-570-3694
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Fax | 805-665-3736
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 138505
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A138505
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License Number State | CA
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