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General NPI Number Information
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NPI Number | 1902252034
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Entity Type | Organization
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Legal Business Name | MELPROTERE INC.
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Dates
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Enumeration Date | 05/07/2016
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Last Update Date | 05/07/2016
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Provider Practice Location Address
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Address Line | 18501 WOODWIND LN
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City | ANAHEIM
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State | CA
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Zip | 92807-1107
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Country | US
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Telephone | 714-515-0459
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Fax |
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Provider Business Mailing Address
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Address Line | 207 S POPLAR AVE
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City | BREA
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State | CA
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Zip | 92821-5599
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Country | US
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Telephone | 714-515-0459
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | TERESA MISA
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Credential |
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Telephone | 714-515-0459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | CA
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