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General NPI Number Information
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NPI Number | 1023297389
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Entity Type | Individual
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Provider Name | MELISSA HALL APRN
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Gender | Female
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1091 PORT MALABAR BLVD NE
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City | PALM BAY
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State | FL
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Zip | 32905-5100
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Country | US
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Telephone | 321-724-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 262 COLUMBIA AVE
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City | SEBASTIAN
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State | FL
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Zip | 32958-4508
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Country | US
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Telephone | 772-594-9898
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11043982
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN 5162112
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License Number State | FL
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