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General NPI Number Information
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NPI Number | 1053263624
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Entity Type | Individual
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Provider Name | MELANIE L HYNEMAN
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Gender | Female
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 6303 OLEANDER DR
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City | WILMINGTON
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State | NC
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Zip | 28403-3590
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Country | US
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Telephone | 333-997-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 1309-1 LOUISA LANE
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City | WILMINGTON
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State | NC
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Zip | 28403
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Country | US
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Telephone |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 20965
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License Number State | NC
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