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General NPI Number Information
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NPI Number | 1497778831
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Entity Type | Individual
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Provider Name | MARY-ELLEN MELTZER PMHCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 5 WALPOLE ST SUITE 3
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City | NORWOOD
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State | MA
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Zip | 02062-3351
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Country | US
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Telephone | 781-255-8885
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Fax | 781-255-8883
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Provider Business Mailing Address
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Address Line | 63 PROSPECT ST
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City | WEST BRIDGEWATER
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State | MA
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Zip | 02379-1432
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Country | US
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Telephone | 508-588-5782
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 204029
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License Number State | MA
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