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General NPI Number Information
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NPI Number | 1598640716
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Entity Type | Individual
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Provider Name | MELANEE DAVIDSON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 825 DELBON AVE
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City | TURLOCK
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State | CA
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Zip | 95382-2016
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Country | US
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Telephone | 209-664-2520
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Fax |
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Provider Business Mailing Address
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Address Line | 2932 BLACKSAND CREEK WAY
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City | RIVERBANK
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State | CA
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Zip | 95367-9458
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Country | US
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Telephone | 209-541-7969
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 24396
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License Number State | CA
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