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General NPI Number Information
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NPI Number | 1144332206
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Entity Type | Individual
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Provider Name | MELISSA A. ZAMBETTI PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 545 NORTH RIVER ST. SUITE 240
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City | WILKES-BARRE
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State | PA
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Zip | 18702
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Country | US
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Telephone | 570-706-2620
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Fax | 570-706-2627
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Provider Business Mailing Address
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Address Line | 545 NORTH RIVER ST. SUITE 240
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City | WILKES-BARRE
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State | PA
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Zip | 18702
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Country | US
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Telephone | 570-706-2620
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Fax | 570-706-2627
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | MA050848
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License Number State | PA
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