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General NPI Number Information
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NPI Number | 1154631067
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Entity Type | Individual
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Provider Name | MELISSA CHALLEEN MS,OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 01/27/2017
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Provider Practice Location Address
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Address Line | 304 INVERNESS WAY S STE. 125
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City | CENTENNIAL
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State | CO
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Zip | 80112-5828
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Country | US
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Telephone | 720-273-7370
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Fax | 720-273-7370
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Provider Business Mailing Address
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Address Line | 304 INVERNESS WAY S STE 125 UNIT 300
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City | CENTENNIAL
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State | CO
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Zip | 80112-5820
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Country | US
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Telephone | 720-273-7370
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Fax | 720-273-7370
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1978
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License Number State | CO
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