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General NPI Number Information
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NPI Number | 1215720727
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Entity Type | Individual
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Provider Name | MELISSA ANGEVINE
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 1105 EASTDALE AVE
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City | NASHVILLE
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State | TN
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Zip | 37216
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Country | US
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Telephone | 615-891-8876
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Fax |
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Provider Business Mailing Address
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Address Line | 225 S 11TH ST # 101
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City | NASHVILLE
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State | TN
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Zip | 37206-3119
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Country | US
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Telephone |
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 265470
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License Number State | TN
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