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General NPI Number Information
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NPI Number | 1740170794
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Entity Type | Individual
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Provider Name | ADAM VICTOR MELIUS PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 1600 S 48TH ST STE 600
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City | LINCOLN
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State | NE
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Zip | 68506-1275
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Country | US
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Telephone | 402-560-4532
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 860879
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0879
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Country | US
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Telephone | 402-483-3333
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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 | 3293
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License Number State | NE
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