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General NPI Number Information
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NPI Number | 1669842282
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Entity Type | Individual
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Provider Name | MELISSA TUELL MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/26/2015
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 4101 WHISPERING OAKS LANE
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City | DANVILLE
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State | CA
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Zip | 94506
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Country | US
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Telephone | 925-570-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 160 ALAMO PLZ UNIT 1087
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City | ALAMO
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State | CA
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Zip | 94507-4062
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Country | US
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Telephone | 925-570-0011
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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 | 12166
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119007003
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0006463
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2008
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License Number State | HI
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 63-020176
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 010001132
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License Number State | DC
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Taxonomy #7
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3903
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License Number State | ME
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Taxonomy #8
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 15-0629
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License Number State | NV
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Taxonomy #9
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 17321
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 60536791
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License Number State | WA
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Taxonomy #11
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1111
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License Number State | WY
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Taxonomy #12
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 48-005520
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License Number State | CT
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Taxonomy #13
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 4196
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License Number State | CA
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