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NPI 1932031440

NPI 1932031440 : MELISSA METZLER : ROCHESTER, NY

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General NPI Number Information
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    NPI Number           |    1932031440
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA METZLER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/30/2026
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    Last Update Date     |    05/30/2026
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Provider Practice Location Address
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    Address Line         |    2510 CHILI AVE STE 5 
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14624-3334
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    Country              |    US
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    Telephone            |    585-406-3151
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    138 BREBEUF DR APT D 
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    City                 |    PENFIELD
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    State                |    NY
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    Zip                  |    14526-2123
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    Country              |    US
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    Telephone            |    
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    102314
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    License Number State |    NY
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