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General NPI Number Information
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NPI Number | 1104764182
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Entity Type | Individual
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Provider Name | MELANIE ERIN DEVINE
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Gender | Female
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 321 FORTUNE BLVD
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City | MILFORD
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State | MA
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Zip | 01757-1750
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Country | US
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Telephone | 774-391-8840
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Fax |
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Provider Business Mailing Address
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Address Line | 95 TILTING ROCK RD
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City | WRENTHAM
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State | MA
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Zip | 02093-1359
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Country | US
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Telephone | 774-266-7516
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | MA
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