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General NPI Number Information
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NPI Number | 1982408894
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Entity Type | Individual
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Provider Name | MELANIE DIANE CHEEK MS ATC
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Gender | Female
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 208 UNIVERSITY DR
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City | WEST LIBERTY
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State | WV
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Zip | 26074-1082
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Country | US
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Telephone | 304-374-9693
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Fax |
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Provider Business Mailing Address
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Address Line | 990 CROSS CREEK RD
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City | COLLIERS
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State | WV
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Zip | 26035-1477
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Country | US
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Telephone | 304-374-9693
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT001327
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License Number State | WV
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