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NPI 1205493285

NPI 1205493285 : ERICA MELOE, PT, PLLC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1205493285
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    Entity Type          |    Organization 
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    Legal Business Name  |    ERICA MELOE, PT, PLLC 
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Dates
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    Enumeration Date     |    05/24/2019
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    Last Update Date     |    05/24/2019
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Provider Practice Location Address
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    Address Line         |    185 E 85TH ST APT 30F 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10028-2143
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    Country              |    US
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    Telephone            |    917-887-0502
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    185 E 85TH ST APT 30F 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10028-2143
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    Country              |    US
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    Telephone            |    917-887-0502
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. ERICA ANNE MELOE 
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    Credential           |    PT
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    Telephone            |    917-887-0502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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