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General NPI Number Information
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NPI Number | 1003413295
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Entity Type | Individual
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Provider Name | MELANIE LOUISE FIORILLO NMD
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Gender | Female
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Dates
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Enumeration Date | 10/01/2020
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 1646 N LITCHFIELD RD STE 200
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City | GOODYEAR
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State | AZ
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Zip | 85395-1253
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Country | US
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Telephone | 623-643-9598
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Fax | 623-478-0960
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Provider Business Mailing Address
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Address Line | 1650 N 87TH TER UNIT 1B
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-2475
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Country | US
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Telephone | 734-674-0828
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 20-1905
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License Number State | AZ
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