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General NPI Number Information
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NPI Number | 1295064301
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Entity Type | Individual
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Provider Name | MELISSA S ABRAHAM M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/18/2009
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Last Update Date | 12/18/2009
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Provider Practice Location Address
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Address Line | 3288 MOANALUA RD
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City | HONOLULU
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State | HI
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Zip | 96819-1469
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Country | US
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Telephone | 908-432-7449
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Fax |
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Provider Business Mailing Address
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Address Line | 610 BUCKINGHAM DR
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City | PISCATAWAY
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State | NJ
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Zip | 08854-6271
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Country | US
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Telephone | 908-812-1171
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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 | 1043
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 41YS00577900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 0195991
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License Number State | NY
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