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General NPI Number Information
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NPI Number | 1942953260
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Entity Type | Individual
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Provider Name | TANIA MARIA MELENDEZ GOMEZ MD
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Gender | Female
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 650 CALLE CECILIANA APT 801
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City | SAN JUAN
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State | PR
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Zip | 00926-7469
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Country | US
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Telephone | 787-326-8225
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Fax |
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Provider Business Mailing Address
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Address Line | 6471 AVE ISLA VERDE APT 501
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City | CAROLINA
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State | PR
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Zip | 00979-7117
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Country | US
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Telephone | 787-326-8225
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 23779
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License Number State | PR
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