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General NPI Number Information
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NPI Number | 1891595591
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Entity Type | Individual
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Provider Name | MELANIE ZENOR DACM, LAC
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Gender | Female
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 7924 IVANHOE AVE STE 6
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City | LA JOLLA
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State | CA
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Zip | 92037-4552
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Country | US
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Telephone | 760-583-4347
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Fax |
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Provider Business Mailing Address
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Address Line | 2718 YORK RD
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City | CARLSBAD
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State | CA
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Zip | 92010-2149
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Country | US
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Telephone | 619-800-1418
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC20165
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 74732
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License Number State | CA
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