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General NPI Number Information
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NPI Number | 1083371900
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Entity Type | Individual
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Provider Name | MELISSA LEE MCDANIEL
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Gender | Female
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Dates
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Enumeration Date | 11/27/2021
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Last Update Date | 11/27/2021
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Provider Practice Location Address
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Address Line | 1280 STATE ROUTE 303
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City | STREETSBORO
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State | OH
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Zip | 44241-5268
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Country | US
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Telephone | 330-626-2407
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Fax |
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Provider Business Mailing Address
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Address Line | 101 KAPPA DR
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City | PITTSBURGH
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State | PA
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Zip | 15238-2809
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Country | US
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Telephone | 330-626-2407
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03225033
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License Number State | OH
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