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General NPI Number Information
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NPI Number | 1508047945
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Entity Type | Individual
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Provider Name | GABRIELE MELVILLE OTL CLT LANA
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Gender | Female
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 01/06/2009
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Provider Practice Location Address
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Address Line | 1829 E FRANKLIN ST STE 200A
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City | CHAPEL HILL
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State | NC
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Zip | 27514-1866
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Country | US
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Telephone | 919-619-3490
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Fax | 919-967-1705
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Provider Business Mailing Address
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Address Line | 1000 DAIRYLAND RD
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City | CHAPEL HILL
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State | NC
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Zip | 27516-5640
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Country | US
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Telephone | 919-933-5068
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Fax | 919-967-1705
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 3074
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3074
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License Number State | NC
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