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General NPI Number Information
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NPI Number | 1093105561
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Entity Type | Individual
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Provider Name | MELISSA PARISI
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Gender | Female
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Dates
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Enumeration Date | 02/04/2015
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 401 ROUTE 73 NORTH BUILDING 10 SUITE 320
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City | MARLTON
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State | NJ
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Zip | 08053
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Country | US
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Telephone | 856-335-4118
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Fax |
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Provider Business Mailing Address
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Address Line | 100 KINGS WAY E STE D2
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City | SEWELL
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State | NJ
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Zip | 08080-2238
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Country | US
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Telephone | 844-542-2273
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86051812
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License Number State |
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