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General NPI Number Information
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NPI Number | 1821007584
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Entity Type | Organization
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Legal Business Name | MELHORN AND MELHORN, D.O., INC.
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 1504 SANTA ROSA RD SUITE 103
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City | RICHMOND
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State | VA
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Zip | 23229-5109
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Country | US
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Telephone | 804-288-6414
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Fax | 804-288-9022
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Provider Business Mailing Address
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Address Line | 1504 SANTA ROSA RD SUITE 103
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City | RICHMOND
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State | VA
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Zip | 23229-5109
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Country | US
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Telephone | 804-288-6414
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Fax | 804-288-9022
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FREDERICK ROBERT MELHORN
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Credential | D.O.
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Telephone | 804-288-6414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | VA
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