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General NPI Number Information
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NPI Number | 1326830373
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Entity Type | Individual
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Provider Name | SHILO HOPE MELEANA STANLEY CMT
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Gender |
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Dates
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Enumeration Date | 05/17/2025
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 100 W 35TH ST STE H
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City | NATIONAL CITY
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State | CA
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Zip | 91950-7925
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Country | US
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Telephone | 808-799-4392
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Fax |
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Provider Business Mailing Address
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Address Line | 5855 KINGS VIEW CT
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City | SAN DIEGO
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State | CA
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Zip | 92114-4133
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Country | US
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Telephone | 808-799-4392
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 98743
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | Y4Y2D5E5
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License Number State | HI
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