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General NPI Number Information
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NPI Number | 1558672824
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Entity Type | Individual
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Provider Name | MELISSA ANN MCCUE DPT
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Gender | Female
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 07/01/2010
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Provider Practice Location Address
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Address Line | 505 HANSEN AVE
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City | BUTLER
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State | PA
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Zip | 16001-5679
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Country | US
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Telephone | 724-477-3181
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Fax |
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Provider Business Mailing Address
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Address Line | 620 CHICORA FENELTON RD
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City | FENELTON
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State | PA
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Zip | 16034-9606
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Country | US
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Telephone | 724-445-3930
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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 | PT020660
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License Number State | PA
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