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General NPI Number Information
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NPI Number | 1285085183
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Entity Type | Individual
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Provider Name | MELANIE CARIN BOND MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 7905 N MEADOWLARK WAY STE B
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City | COEUR D ALENE
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State | ID
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Zip | 83815-5041
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Country | US
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Telephone | 208-772-3116
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Fax | 208-772-7677
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Provider Business Mailing Address
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Address Line | 8037 N WESTVIEW DR
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City | COEUR D ALENE
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State | ID
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Zip | 83815-9576
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Country | US
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Telephone | 559-352-0607
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT-1633
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3771074
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License Number State | ID
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