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General NPI Number Information
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NPI Number | 1821345299
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Entity Type | Individual
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Provider Name | MELISSA SCHMECK
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Gender | Female
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Dates
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Enumeration Date | 08/05/2012
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Last Update Date | 08/05/2012
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Provider Practice Location Address
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Address Line | 3100 IROQUOIS AVE
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City | SINKING SPRING
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State | PA
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Zip | 19608-1640
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Country | US
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Telephone | 610-670-0180
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Fax |
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Provider Business Mailing Address
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Address Line | 3332 ROSEDALE AVE
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City | LAURELDALE
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State | PA
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Zip | 19605-2623
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | RTO000138
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License Number State | PA
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