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General NPI Number Information
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NPI Number | 1780067835
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Entity Type | Individual
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Provider Name | MELISSA BERTUZZI FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 32 STRAWBERRY HILL CT
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City | STAMFORD
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State | CT
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Zip | 06902
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Country | US
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Telephone | 203-890-4459
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Fax |
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Provider Business Mailing Address
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Address Line | 22 WESCOTT ST
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City | OLD TAPPAN
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State | NJ
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Zip | 07675-7426
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Country | US
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Telephone | 845-499-6939
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F339855-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 7597
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License Number State | CT
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