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General NPI Number Information
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NPI Number | 1710664511
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Entity Type | Individual
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Provider Name | MELYSSA GARNER MS, GC
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Gender | Female
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 333 N SANTA ROSA FL 2
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City | SAN ANTONIO
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State | TX
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Zip | 78207-3108
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Country | US
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Telephone | 201-704-0407
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 BROADWAY ST APT 452
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City | SAN ANTONIO
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State | TX
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Zip | 78215-1469
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Country | US
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Telephone | 256-698-5508
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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