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General NPI Number Information
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NPI Number | 1144941907
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Entity Type | Individual
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Provider Name | MELANIE CRESPO
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Gender | Female
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 09/08/2022
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Provider Practice Location Address
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Address Line | 18W375 14TH ST
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City | LOMBARD
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State | IL
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Zip | 60148-4103
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Country | US
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Telephone | 630-516-6540
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Fax |
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Provider Business Mailing Address
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Address Line | 255 W VERMONT ST
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City | VILLA PARK
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State | IL
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Zip | 60181-1943
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Country | US
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Telephone |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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