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General NPI Number Information
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NPI Number | 1174656359
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Entity Type | Individual
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Provider Name | BARBARA L MELTON RN
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 209 S CEDAR LN
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City | PULASKI
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State | TN
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Zip | 38478-3502
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Country | US
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Telephone | 931-363-5506
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Fax |
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Provider Business Mailing Address
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Address Line | 1858 PATRICK RD
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City | PULASKI
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State | TN
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Zip | 38478-5403
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Country | US
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Telephone | 931-363-7368
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 127939
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License Number State | TN
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