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General NPI Number Information
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NPI Number | 1003958950
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Entity Type | Individual
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Provider Name | MELISSA ROTENBERRY PATTERSON
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 510 CARPENTER AVE
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City | MOORESVILLE
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State | NC
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Zip | 28115-2512
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Country | US
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Telephone | 704-663-2115
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Fax |
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Provider Business Mailing Address
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Address Line | 2962 TREE SWALLOW RD
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City | ROANOKE
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State | VA
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Zip | 24018-5024
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Country | US
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Telephone | 540-986-8968
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202005837
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License Number State | VA
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