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General NPI Number Information
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NPI Number | 1992190219
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Entity Type | Individual
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Provider Name | MELISSA HEWSON
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Gender | Female
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1700 S BROAD ST APT 301
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City | PHILADELPHIA
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State | PA
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Zip | 19145-2340
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Country | US
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Telephone | 215-467-5870
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Fax |
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Provider Business Mailing Address
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Address Line | 310 S NARBERTH AVE
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City | NARBERTH
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State | PA
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Zip | 19072-2420
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD468105
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License Number State | PA
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