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General NPI Number Information
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NPI Number | 1790370344
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Entity Type | Individual
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Provider Name | MELISSA GHIGLIOTTY PTA
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Gender | Female
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Dates
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Enumeration Date | 03/05/2021
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Last Update Date | 03/05/2021
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Provider Practice Location Address
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Address Line | 4600 SW 46TH CT STE 210
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City | OCALA
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State | FL
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Zip | 34474-5786
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Country | US
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Telephone | 352-620-1980
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 NEWBERRY RD
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City | GAINESVILLE
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State | FL
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Zip | 32607-2245
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Country | US
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Telephone | 352-336-6002
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA30677
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License Number State | FL
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