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General NPI Number Information
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NPI Number | 1841551785
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Entity Type | Organization
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Legal Business Name | MELVIN D ROSS MD PA
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 252 S FLAMINGO RD
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1721
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Country | US
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Telephone | 954-437-8888
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Fax | 954-437-6256
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Provider Business Mailing Address
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Address Line | 252 S FLAMINGO RD
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1721
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Country | US
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Telephone | 954-437-8888
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Fax | 954-437-6256
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Authorized Official
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Title or Position | PRESIDENT
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Name | MELVIN D ROSS
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Credential | MD
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Telephone | 954-437-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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