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General NPI Number Information
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NPI Number | 1033675970
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Entity Type | Individual
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Provider Name | MELISSA DAWN SHAW APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/15/2019
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 2564 MAPLE AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-1881
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Country | US
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Telephone | 614-948-2065
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Fax | 614-948-2011
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Provider Business Mailing Address
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Address Line | 1680 HOPEWELL RD N
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City | HOPEWELL
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State | OH
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Zip | 43746-9624
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Country | US
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Telephone | 740-421-0297
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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 | 024260
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License Number State | OH
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