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General NPI Number Information
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NPI Number | 1760497309
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Entity Type | Individual
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Provider Name | MARIA MELINDA BERNALES SANGALANG D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 10/21/2013
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Provider Practice Location Address
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Address Line | 633 GOV CARLOS G CAMACHO RD SUITE 212
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City | TAMUNING
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State | GU
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Zip | 96913-3195
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Country | US
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Telephone | 671-646-3375
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Fax | 671-649-2266
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Provider Business Mailing Address
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Address Line | 633 GOV CARLOS CAMACHO RD SUITE 212
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City | TAMUNING
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State | GUAM
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Zip | 96913
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Country | UM
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Telephone | 671-777-2412
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Fax | 671-649-2266
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | POD-00006
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License Number State | GU
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 00645
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO-179
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 645
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License Number State | AZ
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