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General NPI Number Information
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NPI Number | 1841064532
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Entity Type | Individual
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Provider Name | SVETLANA STEPANIVNA MELNIK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 600 RANCH RD
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City | REEDSPORT
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State | OR
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Zip | 97467-1795
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Country | US
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Telephone | 541-319-2178
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Fax | 541-271-6317
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Provider Business Mailing Address
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Address Line | 91111 CAPE ARAGO HWY
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City | COOS BAY
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State | OR
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Zip | 97420-7637
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Country | US
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Telephone | 425-773-7239
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0015041
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License Number State | OR
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