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General NPI Number Information
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NPI Number | 1154781656
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Entity Type | Individual
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Provider Name | MELISSA LYNN TRABEL
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Gender | Female
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 1474 MAIN ST
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City | HAMILTON
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State | OH
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Zip | 45013-1074
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Country | US
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Telephone | 513-896-8967
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Fax |
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Provider Business Mailing Address
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Address Line | 157 BARNWOOD DR
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City | EDGEWOOD
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State | KY
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Zip | 41017-2589
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Country | US
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Telephone | 859-287-4759
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN.328319
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License Number State | OH
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