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General NPI Number Information
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NPI Number | 1518814847
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Entity Type | Individual
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Provider Name | MELANIE WEBER
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Gender |
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 1201 S 13TH AVE
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City | VIRGINIA
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State | MN
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Zip | 55792-3361
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Country | US
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Telephone | 218-741-9201
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Fax |
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Provider Business Mailing Address
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Address Line | 4301 GROUSE RIDGE DR
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City | HERMANTOWN
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State | MN
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Zip | 55811-1333
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Country | US
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Telephone | 320-630-2805
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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