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General NPI Number Information
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NPI Number | 1922188960
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Entity Type | Individual
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Provider Name | MELANIE CHANEY O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 3590B PELHAM PKWY UNIT 190
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City | PELHAM
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State | AL
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Zip | 35124-2034
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Country | US
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Telephone | 440-463-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 3590B PELHAM PKWY UNIT 190
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City | PELHAM
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State | AL
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Zip | 35124-2034
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Country | US
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Telephone | 440-463-6500
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4730
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | R-238-TA-A10
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License Number State | AL
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