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General NPI Number Information
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NPI Number | 1073222592
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Entity Type | Individual
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Provider Name | RACHAEL MELTON PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 4401 PENN AVE
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City | PITTSBURGH
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State | PA
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Zip | 15224-1334
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Country | US
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Telephone | 412-692-5325
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 HARROW HILL CT
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City | CORAOPOLIS
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State | PA
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Zip | 15108-9016
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Country | US
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Telephone | 412-848-8383
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA064166P
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License Number State | PA
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