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General NPI Number Information
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NPI Number | 1104585264
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Entity Type | Organization
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Legal Business Name | MELIP ENTERPRISES
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 104 MAIN ST STE 1A
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City | SPARTA
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State | NJ
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Zip | 07871-1945
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Country | US
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Telephone | 973-729-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 2 MOUNT PLEASANT RD
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City | SPARTA
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State | NJ
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Zip | 07871-3844
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA PRESTIPINO
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Credential |
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Telephone | 646-346-0840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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