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General NPI Number Information
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NPI Number | 1932383767
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Entity Type | Individual
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Provider Name | MELISSA JO ALVES
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Gender | Female
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 11/26/2016
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Provider Practice Location Address
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Address Line | 923 ROUTE 6A
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City | YARMOUTH PORT
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State | MA
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Zip | 02675-2159
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Country | US
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Telephone | 508-221-6873
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Fax |
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Provider Business Mailing Address
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Address Line | 720 TUBMAN RD
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City | BREWSTER
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State | MA
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Zip | 02631-5205
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Country | US
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Telephone | 774-323-0068
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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