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General NPI Number Information
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NPI Number | 1033802046
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Entity Type | Individual
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Provider Name | MELISSA ANNE MANSELL AU.D.
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Gender | Female
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 409 CENTRAL PARK DR
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City | ARLINGTON
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State | TX
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Zip | 76014-2069
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Country | US
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Telephone | 817-261-9191
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Fax |
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Provider Business Mailing Address
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Address Line | 8221 MEADOWBROOK DR
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City | WATAUGA
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State | TX
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Zip | 76148-1109
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Country | US
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Telephone | 469-980-6160
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | SLP-2023-0191
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 81441
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License Number State | TX
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