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General NPI Number Information
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NPI Number | 1013122399
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Entity Type | Individual
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Provider Name | MELISSA CORDELL FNP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 4340 WESTHEIMER RD STE 250
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City | HOUSTON
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State | TX
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Zip | 77027-4888
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Country | US
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Telephone | 713-955-6560
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Fax | 832-649-4933
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Provider Business Mailing Address
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Address Line | 4718 WARING ST
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City | HOUSTON
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State | TX
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Zip | 77027-6220
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Country | US
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Telephone | 713-840-7670
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Fax | 713-529-8350
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP112531
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 626005
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License Number State | TX
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