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NPI 1134077506

NPI 1134077506 : MELINDA S MANN RN : REEDSVILLE, WV

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General NPI Number Information
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    NPI Number           |    1134077506
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    Entity Type          |    Individual 
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    Provider Name        |    MELINDA S MANN RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/20/2026
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    Last Update Date     |    03/20/2026
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Provider Practice Location Address
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    Address Line         |    PO BOX 756 
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    City                 |    REEDSVILLE
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    State                |    WV
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    Zip                  |    26547-0756
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    Country              |    US
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    Telephone            |    304-276-5511
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    Fax                  |    304-276-5511
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Provider Business Mailing Address
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    Address Line         |    PO BOX 756 
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    City                 |    REEDSVILLE
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    State                |    WV
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    Zip                  |    26547-0756
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    Country              |    US
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    Telephone            |    304-276-5511
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    Fax                  |    304-864-5955
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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        |    163WC0400X
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    Taxonomy Name        |    Case Management Registered Nurse
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    License Number       |    59551
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    License Number State |    WV
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    59951
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    License Number State |    WV
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