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General NPI Number Information
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NPI Number | 1083881361
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Entity Type | Individual
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Provider Name | MELANIE SLEDGE HOLT LPTA
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Gender | Female
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 509 W GANNON AVE
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City | ZEBULON
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State | NC
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Zip | 27597-2509
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Country | US
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Telephone | 919-269-9621
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Fax |
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Provider Business Mailing Address
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Address Line | 128 EDGEWOOD DR
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City | LOUISBURG
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State | NC
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Zip | 27549-2111
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Country | US
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Telephone | 919-495-0996
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 1929
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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