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General NPI Number Information
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NPI Number | 1487084760
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Entity Type | Organization
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Legal Business Name | MELISSA BARRETT PT PC
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Dates
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Enumeration Date | 11/22/2013
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Last Update Date | 11/22/2013
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Provider Practice Location Address
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Address Line | 70 MAPLE AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4225
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Country | US
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Telephone | 516-536-7388
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Fax | 516-608-6717
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Provider Business Mailing Address
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Address Line | 70 MAPLE AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4225
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Country | US
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Telephone | 516-536-7388
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Fax | 516-608-6717
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA BARRETT
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Credential | PT
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Telephone | 516-764-7134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1
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License Number State | NY
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