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General NPI Number Information
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NPI Number | 1205314671
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Entity Type | Individual
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Provider Name | MELISSA BRADEN CNP
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Gender | Female
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 444 W EXCHANGE ST
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City | AKRON
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State | OH
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Zip | 44302-1711
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Country | US
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Telephone | 330-535-2671
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Fax |
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Provider Business Mailing Address
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Address Line | 25350 ROCKSIDE RD
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City | BEDFORD HEIGHTS
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State | OH
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Zip | 44146-7110
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Country | US
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Telephone | 216-961-8804
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Fax | 440-374-4965
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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 | F0416020
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License Number State | OH
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