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General NPI Number Information
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NPI Number | 1700421021
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Entity Type | Individual
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Provider Name | MELISSA M DEMARCHENA MS, CF SLP
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Gender | Female
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 3601 SW 117TH AVE APT 405
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City | MIAMI
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State | FL
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Zip | 33175-1765
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Country | US
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Telephone | 305-707-1555
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Fax | 305-716-9236
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Provider Business Mailing Address
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Address Line | 8701 SW 84TH AVE
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City | MIAMI
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State | FL
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Zip | 33143-6960
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Country | US
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Telephone | 305-333-1525
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ9396
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License Number State | FL
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