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General NPI Number Information
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NPI Number | 1942006309
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Entity Type | Individual
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Provider Name | MELANIE GARDEA
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Gender | Female
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 405 W 5TH ST
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City | SANTA ANA
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State | CA
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Zip | 92701-4599
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Country | US
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Telephone | 714-834-5414
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Fax |
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Provider Business Mailing Address
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Address Line | 8226 BUHMAN AVE
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City | PICO RIVERA
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State | CA
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Zip | 90660-5202
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Country | US
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Telephone | 562-712-4301
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State | CA
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