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General NPI Number Information
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NPI Number | 1851622807
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Entity Type | Organization
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Legal Business Name | EDWIN M. MELENDEZ, MD PA
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Dates
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Enumeration Date | 01/14/2010
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Last Update Date | 08/08/2011
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Provider Practice Location Address
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Address Line | 2509 W CREST AVE
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City | TAMPA
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State | FL
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Zip | 33614-6839
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Country | US
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Telephone | 813-878-2105
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Fax | 813-875-0213
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Provider Business Mailing Address
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Address Line | 2509 W CREST AVE
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City | TAMPA
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State | FL
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Zip | 33614-6839
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Country | US
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Telephone | 813-878-2105
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Fax | 813-875-0213
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDWIN M MELENDEZ
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Credential | MD
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Telephone | 813-878-2105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 0059273
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License Number State | FL
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