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General NPI Number Information
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NPI Number | 1982541066
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Entity Type | Individual
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Provider Name | ALYCIA MARY MELVIN
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Gender | Female
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 218 N COLLEGE AVE
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City | RIO GRANDE
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State | OH
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Zip | 45674-3131
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Country | US
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Telephone | 800-282-7201
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Fax |
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Provider Business Mailing Address
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Address Line | 19105 HUNTINGTON RD
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City | GALLIPOLIS FERRY
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State | WV
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Zip | 25515-6157
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Country | US
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Telephone | 919-841-8061
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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 |
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License Number State |
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