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General NPI Number Information
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NPI Number | 1932332061
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Entity Type | Individual
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Provider Name | MELISSA L HARMON DC
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Gender | Female
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 4535 TAMIAMI TRL
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City | PORT CHARLOTTE
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State | FL
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Zip | 33980-2930
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Country | US
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Telephone | 941-625-2667
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Fax | 941-315-9922
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Provider Business Mailing Address
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Address Line | 2426 BEE RIDGE RD STE C
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City | SARASOTA
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State | FL
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Zip | 34239-6350
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Country | US
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Telephone | 941-625-2667
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Fax | 941-315-9922
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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 | CH10118
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License Number State | FL
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