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General NPI Number Information
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NPI Number | 1801464078
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Entity Type | Individual
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Provider Name | MARIE CARMEN COLON MELENDEZ DDS
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Gender | Female
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 3292 GREENWALD WAY N
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City | KISSIMMEE
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State | FL
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Zip | 34741-0728
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Country | US
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Telephone | 407-847-0100
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Fax | 407-693-0791
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Provider Business Mailing Address
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Address Line | 2321 LAGUNA CIR APT 1006
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City | NORTH MIAMI
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State | FL
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Zip | 33181-1078
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN28658
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License Number State | FL
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