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General NPI Number Information
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NPI Number | 1922128586
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Entity Type | Individual
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Provider Name | MELANIE SULHA JOSHUA D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 945 MCNEAR AVE
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City | PETALUMA
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State | CA
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Zip | 94952-4814
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Country | US
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Telephone | 707-782-9092
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Fax |
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Provider Business Mailing Address
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Address Line | 2237 IRVING ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-1618
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Country | US
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Telephone | 415-665-5853
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Fax | 415-665-7943
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15259
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License Number State | CA
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