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General NPI Number Information
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NPI Number | 1386050458
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Entity Type | Individual
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Provider Name | MELISSA KAELI
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Gender | Female
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 35 SOUTH ST
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City | BOSTON
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State | MA
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Zip | 02130-3112
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Country | US
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Telephone | 617-286-2133
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Fax | 617-440-2081
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Provider Business Mailing Address
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Address Line | 35 SOUTH ST UNIT 1
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City | BOSTON
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State | MA
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Zip | 02130-3112
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Country | US
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Telephone | 774-239-8445
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Fax | 508-625-6570
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2293194
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2293194
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License Number State | MA
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