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General NPI Number Information
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NPI Number | 1114787306
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Entity Type | Individual
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Provider Name | MELODY A MILLER CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/22/2024
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | WELLNOW URGENT CARE 917 S ST MARYS ST
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City | ST MARYS
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State | PA
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Zip | 15857
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Country | US
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Telephone | 814-389-1026
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Fax |
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Provider Business Mailing Address
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Address Line | 53 WALTER RD
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City | GRAMPIAN
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State | PA
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Zip | 16838-8945
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Country | US
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Telephone | 814-771-3352
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Fax | 814-583-5814
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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 | SP029407
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License Number State | PA
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