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General NPI Number Information
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NPI Number | 1952164576
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Entity Type | Individual
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Provider Name | MELISSA MUSINO APRN
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Gender | Female
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 10240 SW 56TH ST
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City | MIAMI
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State | FL
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Zip | 33165-7071
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Country | US
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Telephone | 786-332-4577
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Fax |
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Provider Business Mailing Address
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Address Line | 24601 SW 112TH CT
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City | HOMESTEAD
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State | FL
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Zip | 33032-4618
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Country | US
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Telephone | 305-963-7322
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | F01240039
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License Number State | FL
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