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General NPI Number Information
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NPI Number | 1770461576
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Entity Type | Individual
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Provider Name | MELISSA LOUISE MENAGH PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1199 PLEASANT VALLEY WAY
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City | WEST ORANGE
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State | NJ
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Zip | 07052-1424
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Country | US
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Telephone | 973-414-4755
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Fax |
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Provider Business Mailing Address
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Address Line | 187 PLEASANT GROVE RD
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City | LONG VALLEY
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State | NJ
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Zip | 07853-3637
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Country | US
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Telephone | 908-914-5153
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA02356100
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License Number State | NJ
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