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Individual
JOHN MELBOURNE
Active
Individual
JOHN MELBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2060981
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
206098-1
NY
208D00000X
General Practice Physician
206098
NY
Other
Enumeration date
11/03/2006
Last updated
03/19/2020
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