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General NPI Number Information
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NPI Number | 1205535036
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Entity Type | Individual
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Provider Name | AMANDA JO MELHORN CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 205 MILLERS RUN ROAD
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-1348
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Country | US
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Telephone | 412-692-3145
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Fax | 412-692-8814
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Provider Business Mailing Address
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Address Line | 2320 FLINT DRIVE
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City | WASHINGTON
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State | PA
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Zip | 15301
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Country | US
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Telephone | 724-554-2628
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Fax | 412-692-8814
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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 | SP027000
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License Number State | PA
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