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General NPI Number Information
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NPI Number | 1003338310
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Entity Type | Individual
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Provider Name | MELISSA R MYERS CNP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 07/13/2017
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Provider Practice Location Address
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Address Line | 4465 DARROW RD
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City | STOW
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State | OH
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Zip | 44224-1884
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Country | US
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Telephone | 330-688-9918
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Fax | 330-688-6338
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Provider Business Mailing Address
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Address Line | 4465 DARROW RD
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City | STOW
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State | OH
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Zip | 44224-1884
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Country | US
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Telephone | 330-688-9918
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Fax | 330-688-6338
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN386498
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN.CNP.021212
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License Number State | OH
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