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General NPI Number Information
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NPI Number | 1679166169
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Entity Type | Individual
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Provider Name | MELISSA LYNN PFEIFER HHA
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Gender | Female
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 203 E MAIN ST
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City | PIKETON
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State | OH
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Zip | 45661-8017
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Country | US
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Telephone | 740-370-2195
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Fax |
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Provider Business Mailing Address
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Address Line | 304 S LUCAS ST
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City | PIKETON
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State | OH
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Zip | 45661-8015
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Country | US
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Telephone | 740-727-3636
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 00000000
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License Number State | OH
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