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General NPI Number Information
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NPI Number | 1912880337
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Entity Type | Individual
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Provider Name | HANNAH MELEA PERDOMO RN
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Gender | Female
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 3150 S AVENUE A BLDG C
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City | YUMA
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State | AZ
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Zip | 85364-7928
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Country | US
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Telephone | 928-502-6809
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Fax |
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Provider Business Mailing Address
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Address Line | 3150 S AVENUE A BLDG C
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City | YUMA
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State | AZ
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Zip | 85364-7928
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Country | US
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Telephone | 928-502-6809
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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 | 218806
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License Number State | AZ
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