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General NPI Number Information
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NPI Number | 1114151024
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Entity Type | Individual
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Provider Name | CLAUDIA DUVA MELKESETIAN
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Gender | Female
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1040 71ST ST STE 102
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City | MIAMI BEACH
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State | FL
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Zip | 33141-2978
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Country | US
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Telephone | 845-616-6286
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Fax |
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Provider Business Mailing Address
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Address Line | 20100 W COUNTRY CLUB DR APT 1404
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City | AVENTURA
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State | FL
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Zip | 33180-1635
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Country | US
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Telephone | 845-616-6286
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 017051
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA15654
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License Number State | FL
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