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NPI 1942754544

NPI 1942754544 : MELISSA HINK : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1942754544
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA HINK
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/11/2016
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    Last Update Date     |    04/16/2017
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Provider Practice Location Address
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    Address Line         |    831 LOWELL BLVD APT C27 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32803-5250
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    Country              |    US
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    Telephone            |    407-790-5601
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1 COLLEGE CIR 
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    City                 |    BANGOR
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    State                |    ME
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    Zip                  |    04401-2929
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    Country              |    US
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    Telephone            |    207-505-0368
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    OT17304
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    License Number State |    FL
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