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General NPI Number Information
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NPI Number | 1821331836
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Entity Type | Individual
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Provider Name | MELISSA HUDSON MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 17 BRISTOL ST
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City | BROOKLYN
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State | NY
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Zip | 11212-5629
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Country | US
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Telephone | 718-495-8160
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Fax |
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Provider Business Mailing Address
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Address Line | 45 HOYT ST APT 3W
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City | BROOKLYN
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State | NY
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Zip | 11201-7214
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Country | US
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Telephone | 516-314-9158
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 284120
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 133705
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License Number State | CA
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