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General NPI Number Information
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NPI Number | 1285744268
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Entity Type | Individual
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Provider Name | MELISSA ANNE HOWIE PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 04/27/2016
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Provider Practice Location Address
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Address Line | 430 E AVENIDA DE LOS ARBOLES SUITE 203
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-3003
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Country | US
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Telephone | 805-492-1015
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Fax | 805-492-2035
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Provider Business Mailing Address
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Address Line | 2412 N PONDEROSA DR STE B111
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City | CAMARILLO
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State | CA
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Zip | 93010-2379
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Country | US
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Telephone | 818-991-6844
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA16248
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License Number State | CA
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