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General NPI Number Information
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NPI Number | 1174851844
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Entity Type | Individual
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Provider Name | ASHLEY KATE MELTON CPNP
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Gender | Female
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 10777 HIGHWAY 412 W
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City | LEXINGTON
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State | TN
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Zip | 38351-6283
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Country | US
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Telephone | 731-968-5558
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Fax | 731-968-5567
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Provider Business Mailing Address
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Address Line | 19 SECURITY DR
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City | JACKSON
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State | TN
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Zip | 38305-3626
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Country | US
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Telephone | 731-664-9040
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APN0000014470
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License Number State | TN
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