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General NPI Number Information
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NPI Number | 1881607190
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Entity Type | Individual
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Provider Name | MELISSA GILBERT ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 22602 NORTHWEST FREEWAY
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City | CYPRESS
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State | TX
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Zip | 77429
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Country | US
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Telephone | 281-897-4671
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Fax | 281-517-2078
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Provider Business Mailing Address
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Address Line | 18531 BURGUNDY SKY WAY
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City | CYPRESS
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State | TX
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Zip | 77429-4260
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Country | US
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Telephone | 281-256-0801
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT2598
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License Number State | TX
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