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General NPI Number Information
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NPI Number | 1437042843
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Entity Type | Individual
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Provider Name | MELISSA ANN PATTON
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1910 S ARCHIBALD AVE STE M2
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City | ONTARIO
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State | CA
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Zip | 91761-8502
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Country | US
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Telephone | 909-569-3913
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Fax |
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Provider Business Mailing Address
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Address Line | 12401 HARWICK DR
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-1873
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Country | US
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Telephone | 909-576-8183
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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 | 46252
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License Number State | CA
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