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General NPI Number Information
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NPI Number | 1124742762
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Entity Type | Individual
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Provider Name | ALBERTO MELARAGNO
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Gender | Male
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 1535 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16508-1357
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Country | US
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Telephone | 814-461-1215
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Fax | 814-461-1177
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Provider Business Mailing Address
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Address Line | 12903 ARBUCKLE RD
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City | UNION CITY
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State | PA
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Zip | 16438-9018
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Country | US
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Telephone | 814-881-2331
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP443485
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License Number State | PA
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