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General NPI Number Information
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NPI Number | 1194378588
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Entity Type | Individual
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Provider Name | BREANN J MELAGO MSN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 421 S HIGH ST
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City | CORTLAND
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State | OH
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Zip | 44410-1437
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Country | US
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Telephone | 330-485-0670
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Fax | 330-333-6600
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Provider Business Mailing Address
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Address Line | 1875 TAFT AVE
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City | NILES
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State | OH
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Zip | 44446-4117
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Country | US
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Telephone | 330-979-1510
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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 | 025251
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License Number State | OH
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