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General NPI Number Information
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NPI Number | 1750505590
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Entity Type | Organization
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Legal Business Name | MELISSA DINGLE, DC, PLLC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3405 N LOY LAKE RD
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City | SHERMAN
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State | TX
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Zip | 75090-1744
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Country | US
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Telephone | 903-893-6551
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Fax | 903-893-6552
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Provider Business Mailing Address
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Address Line | PO BOX 1396
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City | SHERMAN
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State | TX
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Zip | 75091-1396
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Country | US
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Telephone | 903-893-6551
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Fax | 903-893-6552
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Authorized Official
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Title or Position | OWNER
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Name | DR. MELISSA BERG DINGLE
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Credential | DC
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Telephone | 903-893-6551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8209
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License Number State | TX
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