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General NPI Number Information
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NPI Number | 1700235124
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Entity Type | Individual
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Provider Name | MELISSA TICE A.T.C. , L.A.T.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 1098 W MAIN ST
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City | LEWISVILLE
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State | TX
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Zip | 75067-3518
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Country | US
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Telephone | 469-446-0381
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Fax |
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Provider Business Mailing Address
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Address Line | 401 N OLD ORCHARD LN APT 231
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City | LEWISVILLE
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State | TX
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Zip | 75067-3649
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Country | US
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Telephone | 682-472-7907
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | AT5006
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License Number State | TX
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