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General NPI Number Information
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NPI Number | 1619148244
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Entity Type | Individual
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Provider Name | MELYNDA RAE GRADICH OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 1010 DELAFIELD RD
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City | PITTSBURGH
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State | PA
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Zip | 15215-1802
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Country | US
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Telephone | 412-822-2176
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 DELAFIELD RD
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City | PITTSBURGH
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State | PA
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Zip | 15215-1802
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Country | US
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Telephone | 412-491-7199
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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 | 225XL0004X
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Taxonomy Name | Low Vision Occupational Therapist
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License Number | OC006998L
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License Number State | PA
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