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General NPI Number Information
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NPI Number | 1447666201
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Entity Type | Individual
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Provider Name | MELINDA IPPOLITO
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Gender | Female
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 5963 EXCHANGE DR STE 109
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City | ELDERSBURG
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State | MD
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Zip | 21784-9256
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Country | US
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Telephone | 410-552-4044
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 SINGER DR
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City | WESTMINSTER
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State | MD
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Zip | 21157-5841
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Country | US
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Telephone | 410-984-5016
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 06122
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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