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General NPI Number Information
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NPI Number | 1275895088
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Entity Type | Individual
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Provider Name | CATHLEEN MELNYCZUK MS. ED.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1541 WILSON RD
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City | EAST MEADOW
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State | NY
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Zip | 11554-4434
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Country | US
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Telephone | 516-456-1934
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Fax | 516-485-0293
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Provider Business Mailing Address
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Address Line | 1541 WILSON RD
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City | EAST MEADOW
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State | NY
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Zip | 11554-4434
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Country | US
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Telephone | 516-454-6193
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Fax | 516-486-0293
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NY
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