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General NPI Number Information
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NPI Number | 1285118166
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Entity Type | Individual
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Provider Name | MELANIE CERASO CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 10/16/2020
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Provider Practice Location Address
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Address Line | 12311 PERRY HWY STE A
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City | WEXFORD
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State | PA
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Zip | 15090-8344
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Country | US
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Telephone | 878-332-4044
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Fax | 878-332-4477
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Provider Business Mailing Address
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Address Line | 247 MOREWOOD AVE
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City | PITTSBURGH
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State | PA
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Zip | 15213-1861
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Country | US
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Telephone | 412-622-0290
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Fax | 412-681-7605
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP019234
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License Number State | PA
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