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General NPI Number Information
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NPI Number | 1982835666
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Entity Type | Individual
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Provider Name | MELANIE JANE FARRIS P.T.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 4101 EASTON DR
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1021
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Country | US
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Telephone | 661-377-1700
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Fax | 661-616-9199
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Provider Business Mailing Address
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Address Line | 8302 ESPRESSO DR STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93312-5687
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Country | US
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Telephone | 661-377-1700
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Fax | 661-616-9199
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT19830
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License Number State | CA
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