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General NPI Number Information
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NPI Number | 1104885599
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Entity Type | Individual
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Provider Name | CHRISTOPHER LEE MELE MS, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 1000 ASYLUM AVE STE 4310
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City | HARTFORD
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State | CT
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Zip | 06105-1704
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Country | US
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Telephone | 860-714-4913
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Fax |
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Provider Business Mailing Address
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Address Line | 16 ZIMMER RD
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City | GRANBY
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State | CT
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Zip | 06035-1109
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Country | US
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Telephone | 860-413-3578
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 000489
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License Number State | CT
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