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General NPI Number Information
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NPI Number | 1699354126
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Entity Type | Individual
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Provider Name | MELISSA ANN ANDERSON L.AC
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Gender | Female
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 216 E CHICAGO BLVD
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City | TECUMSEH
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State | MI
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Zip | 49286-1549
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Country | US
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Telephone | 517-208-2082
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Fax |
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Provider Business Mailing Address
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Address Line | 2511 HOWELL HWY
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City | ADRIAN
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State | MI
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Zip | 49221-9301
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Country | US
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Telephone | 517-208-2081
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 5401000266
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License Number State | MI
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