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General NPI Number Information
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NPI Number | 1982429023
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Entity Type | Individual
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Provider Name | MS. MELANIE MARIE BEDEVIA
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Gender | Female
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 5600 SW 135TH AVE STE 112B
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City | MIAMI
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State | FL
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Zip | 33183-5125
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Country | US
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Telephone | 786-269-5268
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Fax | 833-230-8204
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Provider Business Mailing Address
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Address Line | 15035 SW 26TH TER
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City | MIAMI
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State | FL
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Zip | 33185-5617
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Country | US
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Telephone | 786-514-2274
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ12417
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License Number State | FL
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