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General NPI Number Information
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NPI Number | 1144080805
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Entity Type | Individual
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Provider Name | GRETA MELTON FNP
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Gender | Female
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 504 N MACARTHUR AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-3636
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Country | US
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Telephone | 850-769-2158
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Fax | 850-785-9220
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Provider Business Mailing Address
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Address Line | 120 W 22ND ST
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City | OAK BROOK
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State | IL
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Zip | 60523-1557
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Country | US
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Telephone | 630-573-5000
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Fax | 630-491-5472
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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 | RN9477473
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License Number State | FL
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