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General NPI Number Information
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NPI Number | 1194386573
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Entity Type | Individual
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Provider Name | MELANIE HOPF PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 1025 1ST AVE W
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City | JASPER
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State | IN
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Zip | 47546-3217
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Country | US
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Telephone | 812-476-7111
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Fax | 812-476-7117
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Provider Business Mailing Address
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Address Line | PO BOX 21890
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City | BELFAST
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State | ME
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Zip | 04915-4115
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Country | US
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Telephone | 502-907-0356
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Fax | 502-919-9780
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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