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General NPI Number Information
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NPI Number | 1174862106
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Entity Type | Individual
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Provider Name | MELODY PARKER REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1949 4TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-1211
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Country | US
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Telephone | 202-462-7500
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Fax | 24-622-3092
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Provider Business Mailing Address
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Address Line | 1949 4TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-1211
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Country | US
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Telephone | 202-462-7500
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Fax | 202-462-2309
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | RN1036688
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License Number State | DC
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