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General NPI Number Information
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NPI Number | 1528084688
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Entity Type | Individual
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Provider Name | MELISSA TAYLOR-BOBB NP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 10/01/2009
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Provider Practice Location Address
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Address Line | 441 E FORDHAM RD STUDENT HEALTH CENTER -OHARE HALL
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City | BRONX
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State | NY
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Zip | 10458-5149
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Country | US
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Telephone | 718-817-4160
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Fax | 718-817-3218
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Provider Business Mailing Address
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Address Line | 441 E. FORDHAM RD. STUDENT HEALTH CENTER -OHARE HALL
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City | BRONX
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State | NY
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Zip | 10458
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Country | US
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Telephone | 718-817-4160
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Fax | 718-817-3218
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F334581-1
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License Number State | NY
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