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General NPI Number Information
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NPI Number | 1346331824
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Entity Type | Individual
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Provider Name | ELYSE MICHELE MELTZER CPNP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 240 E 109TH ST
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City | NEW YORK
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State | NY
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Zip | 10029-3703
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Country | US
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Telephone | 212-860-6027
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Fax | 212-722-2731
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Provider Business Mailing Address
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Address Line | 200 W 79TH ST APT 9J
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City | NEW YORK
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State | NY
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Zip | 10024-6215
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Country | US
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Telephone | 212-860-6027
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Fax | 212-722-2731
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | F381080
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License Number State | NY
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