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General NPI Number Information
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NPI Number | 1073474680
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Entity Type | Individual
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Provider Name | DR. MELISSA BETZER
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Gender | Female
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 9775 VERNON AVE
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City | MONTCLAIR
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State | CA
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Zip | 91763-2947
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Country | US
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Telephone | 909-624-5036
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Fax |
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Provider Business Mailing Address
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Address Line | 950 W D ST
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City | ONTARIO
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State | CA
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Zip | 91762-3026
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Country | US
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Telephone | 909-930-6740
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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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