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General NPI Number Information
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NPI Number | 1417571688
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Entity Type | Individual
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Provider Name | MELISSA CHRISTIAN
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Gender | Female
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Dates
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Enumeration Date | 06/03/2020
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 951 S BEACH BLVD UNIT J4101
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City | LA HABRA
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State | CA
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Zip | 90631-9816
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Country | US
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Telephone | 562-881-6540
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Fax |
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Provider Business Mailing Address
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Address Line | 951 S BEACH BLVD UNIT J4101
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City | LA HABRA
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State | CA
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Zip | 90631-9816
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Country | US
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Telephone | 562-881-6540
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 25163
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License Number State | CA
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