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General NPI Number Information
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NPI Number | 1851650857
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Entity Type | Organization
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Legal Business Name | EMMANUEL G. MELISSINOS, M.D., P.A.
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Dates
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Enumeration Date | 05/10/2012
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 6410 FANNIN ST 1220
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City | HOUSTON
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State | TX
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Zip | 77030-3000
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Country | US
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Telephone | 713-790-0723
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Fax | 713-790-0743
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Provider Business Mailing Address
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Address Line | 6410 FANNIN ST 1220
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City | HOUSTON
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State | TX
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Zip | 77030-3000
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Country | US
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Telephone | 713-790-0723
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Fax | 713-790-0743
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMMANUEL GEORGE MELISSINOS
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Credential | M.D.
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Telephone | 713-790-0723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | F6038
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License Number State |
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