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General NPI Number Information
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NPI Number | 1831619725
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Entity Type | Individual
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Provider Name | MELISSA DAWN BRESNAHAN CNA, RPT
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Gender | Female
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 06/22/2017
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Provider Practice Location Address
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Address Line | 748 104TH AVE N
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City | NAPLES
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State | FL
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Zip | 34108-3229
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Country | US
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Telephone | 239-298-9571
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110601
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City | NAPLES
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State | FL
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Zip | 34108-0111
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Country | US
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Telephone |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | RPT52985
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | CNA268288
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License Number State | FL
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