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General NPI Number Information
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NPI Number | 1215568407
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Entity Type | Individual
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Provider Name | MELISSA LARAE BRANIFF
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Gender | Female
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Dates
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Enumeration Date | 01/28/2020
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 12308 OCEAN GTWY STE 8
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City | OCEAN CITY
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State | MD
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Zip | 21842-9341
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Country | US
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Telephone | 443-728-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 12508 NATURE PARK DR
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City | OCEAN CITY
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State | MD
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Zip | 21842-8803
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Country | US
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Telephone | 828-381-2323
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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 | R213557
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License Number State | MD
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