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General NPI Number Information
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NPI Number | 1265267967
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Entity Type | Individual
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Provider Name | MELANIE SNYDER ATENCIO M.ED CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/04/2024
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 275 W HOSPITALITY LN STE 103
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3238
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Country | US
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Telephone | 909-567-2221
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Fax | 909-763-3216
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Provider Business Mailing Address
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Address Line | 21100 STATE ST SPC 214
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City | SAN JACINTO
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State | CA
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Zip | 92583-8214
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Country | US
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Telephone | 951-306-5879
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 16164
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License Number State | CA
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