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General NPI Number Information
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NPI Number | 1225291644
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Entity Type | Individual
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Provider Name | MELISSA DURAN CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 11/17/2008
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Provider Practice Location Address
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Address Line | 34TH STREET AND CIVIC CENTER BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 267-426-4109
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Fax |
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Provider Business Mailing Address
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Address Line | 210 OLD HICKORY BLVD NO 70
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City | NASHVILLE
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State | TN
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Zip | 37221-1382
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Country | US
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Telephone | 443-540-6342
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP009777
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License Number State | PA
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