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General NPI Number Information
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NPI Number | 1083938476
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Entity Type | Individual
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Provider Name | MELISSA ANN OWENS NP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2010
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 1730 HAINES AVE
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City | RAPID CITY
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State | SD
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Zip | 57701-0615
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Country | US
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Telephone | 605-791-7728
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Fax | 308-633-1327
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Provider Business Mailing Address
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Address Line | 1730 HAINES AVE
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City | RAPID CITY
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State | SD
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Zip | 57701-0615
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Country | US
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Telephone | 605-791-7728
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Fax | 308-633-1327
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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 | APRN-2165
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R892549
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 114676
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 52066
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License Number State | WY
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CP002623
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License Number State | SD
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