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General NPI Number Information
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NPI Number | 1649505199
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Entity Type | Individual
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Provider Name | MELODIE ROSE TORRES-COLE LMT
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Gender | Female
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Dates
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Enumeration Date | 10/15/2009
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Last Update Date | 10/15/2009
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Provider Practice Location Address
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Address Line | 112 S FEDERAL HWY
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City | DANIA BEACH
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State | FL
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Zip | 33004-3623
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Country | US
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Telephone | 305-775-6500
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Fax | 354-456-3733
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Provider Business Mailing Address
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Address Line | 112 S FEDERAL HWY
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City | DANIA BEACH
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State | FL
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Zip | 33004-3623
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Country | US
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Telephone | 305-775-6500
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Fax | 354-456-3733
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA34917
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License Number State | FL
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