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General NPI Number Information
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NPI Number | 1982904009
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Entity Type | Organization
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Legal Business Name | ROBERT M MELNIKOFF M D INC
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 04/09/2011
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Provider Practice Location Address
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Address Line | 2500 HOSPITAL DR 4B
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4106
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Country | US
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Telephone | 650-988-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 HOSPITAL DR 4B
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4106
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Country | US
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Telephone | 650-988-6900
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Fax |
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Authorized Official
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Title or Position | BUS MANAGER
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Name | KAREN L FOX
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Credential |
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Telephone | 650-988-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A19015
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License Number State | CA
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