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General NPI Number Information
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NPI Number | 1730596917
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Entity Type | Individual
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Provider Name | MELANIE ZIELOMSKI PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/19/2014
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 1141 W REDONDO BEACH BLVD SUITE 308
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City | GARDENA
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State | CA
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Zip | 90247-3586
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Country | US
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Telephone | 310-807-9497
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Fax |
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Provider Business Mailing Address
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Address Line | 1243 S GERTRUDA AVE
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City | REDONDO BEACH
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State | CA
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Zip | 90277-5125
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Country | US
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Telephone | 310-227-9390
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 51651
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License Number State | CA
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