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NPI 1902351588

NPI 1902351588 : MELODY GARCIA OD : PEACHTREE CORNERS, GA

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General NPI Number Information
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    NPI Number           |    1902351588
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    Entity Type          |    Individual 
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    Provider Name        |    MELODY GARCIA OD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/24/2016
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    Last Update Date     |    12/14/2022
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Provider Practice Location Address
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    Address Line         |    5185 PEACHTREE PKWY STE 350 
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    City                 |    PEACHTREE CORNERS
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    State                |    GA
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    Zip                  |    30092-6545
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    Country              |    US
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    Telephone            |    770-850-5437
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    Fax                  |    770-796-0298
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Provider Business Mailing Address
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    Address Line         |    5185 PEACHTREE PKWY STE 350 
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    City                 |    PEACHTREE CORNERS
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    State                |    GA
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    Zip                  |    30092-6545
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    Country              |    US
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    Telephone            |    770-850-5437
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    Fax                  |    770-796-0298
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    TUV008436
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207WX0110X
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    Taxonomy Name        |    Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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    License Number       |    TUV008436
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    OPT3307
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    License Number State |    GA
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