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General NPI Number Information
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NPI Number | 1154824589
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Entity Type | Individual
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Provider Name | MELISSA HANGO ATC, PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 5501 OLD YORK RD BLDG 4TH
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3018
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Country | US
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Telephone | 215-456-7900
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Fax | 215-456-3428
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Provider Business Mailing Address
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Address Line | 101 E OLNEY AVE STE 400
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City | PHILADELPHIA
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State | PA
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Zip | 19120-2470
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Country | US
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Telephone | 215-456-7000
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Fax | 215-456-5926
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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