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General NPI Number Information
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NPI Number | 1033021613
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Entity Type | Individual
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Provider Name | MELANIE CHANDLER
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Gender | Female
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Dates
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Enumeration Date | 09/19/2026
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Last Update Date | 09/19/2026
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Provider Practice Location Address
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Address Line | 25 WASHINGTON ST. STE 1 #203
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City | LODI
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State | NJ
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Zip | 07644-9998
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Country | US
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Telephone | 646-651-0871
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Fax |
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Provider Business Mailing Address
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Address Line | 25 WASHINGTON ST. STE 1 #203
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City | LODI
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State | NJ
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Zip | 07644-9998
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Country | US
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Telephone |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 011856
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 46TA09243500
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License Number State | NJ
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