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General NPI Number Information
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NPI Number | 1003212184
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Entity Type | Individual
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Provider Name | MELINDA MCCLENDON RN, AGNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 4110 BRIARGATE PKWY STE 405
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7838
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Country | US
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Telephone | 719-365-7300
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Fax | 512-275-2833
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Provider Business Mailing Address
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Address Line | 4110 BRIARGATE PKWY STE 140
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7836
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Country | US
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Telephone | 719-365-7300
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Fax | 719-365-7301
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | C-APN.0000696-C-NP
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License Number State | CO
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