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General NPI Number Information
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NPI Number | 1780688051
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Entity Type | Individual
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Provider Name | PATRICK MELDER MD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 320 E CENTRAL AVE
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City | ZEELAND
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State | MI
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Zip | 49464-1706
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Country | US
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Telephone | 954-377-2939
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Fax | 865-560-7110
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Provider Business Mailing Address
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Address Line | 1643 NW 136TH AVE BLDG H SUITE 100 MSC 11607-0001
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City | SUNRISE
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State | FL
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Zip | 33323-2857
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Country | US
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Telephone | 954-377-2939
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Fax | 865-560-7110
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | D0061876
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 4301510100
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number | 16084
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301510100
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License Number State | MI
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