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General NPI Number Information
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NPI Number | 1063044725
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Entity Type | Individual
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Provider Name | MELANIE REILLY
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Gender | Female
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 9300 IMPERIAL HWY
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City | DOWNEY
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State | CA
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Zip | 90242-2813
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Country | US
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Telephone | 562-922-7488
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Fax |
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Provider Business Mailing Address
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Address Line | 9023 ALCOTT ST APT 302
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City | LOS ANGELES
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State | CA
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Zip | 90035-3399
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Country | US
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Telephone | 650-808-0474
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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