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General NPI Number Information
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NPI Number | 1861707457
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Entity Type | Individual
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Provider Name | MELANIE MELENDEZ GARCIA M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 1213 N CENTRAL AVE
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City | KISSIMMEE
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State | FL
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Zip | 34741-4407
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Country | US
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Telephone | 407-483-4795
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Fax | 863-250-1174
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Provider Business Mailing Address
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Address Line | 13920 LANDSTAR BLVD # 45
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City | ORLANDO
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State | FL
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Zip | 32824-5524
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Country | US
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Telephone | 863-800-5323
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 20857
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 12,636 - I
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME-119966
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License Number State | FL
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