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General NPI Number Information
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NPI Number | 1427577386
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Entity Type | Individual
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Provider Name | MELISA KELLEY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 5860 W LAS POSITAS BLVD STE 19
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City | PLEASANTON
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State | CA
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Zip | 94588-8557
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Country | US
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Telephone | 925-317-7960
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Fax | 833-543-0292
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Provider Business Mailing Address
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Address Line | 507 CONEJO CT
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City | DANVILLE
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State | CA
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Zip | 94506-6203
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Country | US
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Telephone | 510-386-0703
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 63901
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License Number State | CA
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