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General NPI Number Information
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NPI Number | 1831504059
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Entity Type | Individual
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Provider Name | STEVEN DANIEL MELNIC D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2014
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Last Update Date | 06/27/2016
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Provider Practice Location Address
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Address Line | 6900 FOREST AVE SUITE 110
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City | RICHMOND
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State | VA
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Zip | 23230-1729
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Country | US
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Telephone | 610-751-3989
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Fax | 804-285-1292
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Provider Business Mailing Address
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Address Line | 4024 MAULFAIR DR
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City | ALLENTOWN
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State | PA
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Zip | 18103-9663
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Country | US
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Telephone | 610-751-3989
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Fax | 610-884-6296
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS040873
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License Number State | PA
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