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General NPI Number Information
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NPI Number | 1215846324
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Entity Type | Individual
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Provider Name | MELISSA KNORR RN
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Gender | Female
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 5050 E STATE ST
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City | ROCKFORD
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State | IL
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Zip | 61108-2311
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Country | US
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Telephone | 815-226-4083
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Fax | 815-226-3335
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Provider Business Mailing Address
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Address Line | 4107 ABBOTSFORD RD
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City | ROCKFORD
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State | IL
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Zip | 61107-3629
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Country | US
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Telephone | 815-226-4083
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Fax | 815-226-3335
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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 | 163WC1400X
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Taxonomy Name | College Health Registered Nurse
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License Number | 041368589
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License Number State | IL
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