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General NPI Number Information
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NPI Number | 1922364660
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Entity Type | Organization
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Legal Business Name | PAUL I MELI III MD PA
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 05/18/2018
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Provider Practice Location Address
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Address Line | 2964 N STATE ROAD 7 SUITE 205
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City | MARGATE
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State | FL
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Zip | 33063
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Country | US
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Telephone | 954-580-4080
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Fax | 954-580-4081
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Provider Business Mailing Address
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Address Line | 2964 N STATE ROAD 7 SUITE 205
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City | MARGATE
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State | FL
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Zip | 33063-5715
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Country | US
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Telephone | 954-580-4080
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Fax | 954-580-4081
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. BRIGIDIA FENELON
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Credential | CPC
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Telephone | 954-580-4080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0057725
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License Number State | FL
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