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General NPI Number Information
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NPI Number | 1003455676
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Entity Type | Individual
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Provider Name | MELANIE RYAN DUERR RN. NP
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Gender | Female
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | HIGH PEAKS HOSPICE INC 47 TOM PHELPS WAY
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City | MINEVILLE
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State | NY
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Zip | 12956
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Country | US
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Telephone | 518-891-0606
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Fax | 518-942-6516
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Provider Business Mailing Address
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Address Line | 1565 NYS ROUTE 73
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City | KEENE VALLEY
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State | NY
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Zip | 12943-1806
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Country | US
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Telephone | 413-588-1101
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 303918
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License Number State | NY
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