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General NPI Number Information
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NPI Number | 1619931631
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Entity Type | Individual
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Provider Name | MELISSA SCALZI O'LOUGHLIN DC
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Gender | Female
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 07/19/2012
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Provider Practice Location Address
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Address Line | 23 COACH ST SUITE 2B
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1529
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Country | US
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Telephone | 585-394-2030
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Fax | 585-394-0454
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Provider Business Mailing Address
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Address Line | 40 OLD FORGE LN
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City | PITTSFORD
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State | NY
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Zip | 14534-4134
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Country | US
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Telephone | 585-729-9846
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Fax | 585-394-0454
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X011227-1
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License Number State | NY
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