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General NPI Number Information
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NPI Number | 1891340980
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Entity Type | Individual
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Provider Name | MELANIE LASCHIVER
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Gender | Female
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 115 SUDBROOK LN STE A
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City | PIKESVILLE
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State | MD
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Zip | 21208-4184
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Country | US
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Telephone | 443-353-9547
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Fax |
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Provider Business Mailing Address
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Address Line | 11 CROSSBROOK PL
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3710
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Country | US
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Telephone | 973-462-7693
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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