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General NPI Number Information
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NPI Number | 1013718972
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Entity Type | Individual
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Provider Name | MELISSA KAY COLLINS
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Gender | Female
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 515 US-67
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City | ALVARADO
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State | TX
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Zip | 76009-7600
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Country | US
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Telephone | 817-783-2318
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Fax | 817-783-2319
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Provider Business Mailing Address
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Address Line | 7817 COUNTY ROAD 517
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City | ALVARADO
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State | TX
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Zip | 76009-8606
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Country | US
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Telephone | 817-517-3434
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Fax | 817-517-3434
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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 | 1192687
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License Number State | TX
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