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General NPI Number Information
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NPI Number | 1669760799
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Entity Type | Individual
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Provider Name | MELISSA MARIE PUZZO O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 9390 W CROSS DR
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City | LITTLETON
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State | CO
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Zip | 80123-2202
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Country | US
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Telephone | 720-922-1539
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Fax |
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Provider Business Mailing Address
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Address Line | 1755 S BEELER ST UNIT 10G
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City | DENVER
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State | CO
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Zip | 80247-2912
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Country | US
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Telephone | 407-308-8125
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 4972
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 56 007744
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT3248
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License Number State | CO
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