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General NPI Number Information
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NPI Number | 1295258523
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Entity Type | Individual
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Provider Name | ANDREINA MELENDEZ BCBA
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Gender | Female
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 1739 N ELSTON AVE
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City | CHICAGO
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State | IL
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Zip | 60642-1544
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Country | US
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Telephone | 773-687-9241
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Fax |
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Provider Business Mailing Address
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Address Line | 60 E RANDOLPH ST APT 402
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City | CHICAGO
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State | IL
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Zip | 60601-8041
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Country | US
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Telephone | 407-486-7380
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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