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General NPI Number Information
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NPI Number | 1942300751
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Entity Type | Individual
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Provider Name | MEIR HERZL MELMED M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 10099 RIDGE GUTE PARKWAY, SUITE 280
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City | LONE TREE
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State | CO
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Zip | 80124
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Country | US
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Telephone | 303-791-2112
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Fax | 303-683-6415
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Provider Business Mailing Address
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Address Line | 10099 RIDGE GUTE PARKWAY, SUITE 280
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City | LONE TREE
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State | CO
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Zip | 80124
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Country | US
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Telephone | 303-791-2112
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Fax | 303-683-6415
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 21140
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License Number State | CO
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