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General NPI Number Information
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NPI Number | 1295490423
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Entity Type | Organization
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Legal Business Name | MELISSA VERBEECK
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 15 GARDINERS RD
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City | SOUND BEACH
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State | NY
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Zip | 11789-2427
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Country | US
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Telephone | 631-702-3841
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 541
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City | SOUND BEACH
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State | NY
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Zip | 11789-0541
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Country | US
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Telephone | 631-702-3841
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | MELISSA VERBEECK
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Credential | RN
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Telephone | 631-702-3841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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