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General NPI Number Information
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NPI Number | 1528585965
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Entity Type | Individual
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Provider Name | MELANIE GESSNER
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Gender | Female
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Dates
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Enumeration Date | 08/25/2017
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Last Update Date | 08/25/2017
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Provider Practice Location Address
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Address Line | 9172 W UNION HILLS DR
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City | PEORIA
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State | AZ
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Zip | 85382-8177
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Country | US
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Telephone | 623-572-0054
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Fax |
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Provider Business Mailing Address
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Address Line | 5615 W ACOMA DR APT 17
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City | GLENDALE
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State | AZ
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Zip | 85306-4261
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Country | US
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Telephone | 505-385-7413
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S022713
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License Number State | AZ
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