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General NPI Number Information
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NPI Number | 1225793003
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Entity Type | Individual
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Provider Name | JOY MELANIE LORETTA MELHADO PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/05/2021
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 2386 FARADAY AVE STE 111
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City | CARLSBAD
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State | CA
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Zip | 92008-7221
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Country | US
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Telephone | 877-840-6956
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 601422
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City | SAN DIEGO
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State | CA
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Zip | 92160-1422
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95019113
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License Number State | CA
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