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General NPI Number Information
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NPI Number | 1235436064
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Entity Type | Individual
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Provider Name | MELODY HARDWAY RN-ANP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2011
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 18167 US HIGHWAY 19 N SUITE 650
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City | CLEARWATER
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State | FL
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Zip | 33764-3528
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Country | US
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Telephone | 727-437-0821
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Fax |
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Provider Business Mailing Address
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Address Line | 7202 MARSH TER
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-3231
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Country | US
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Telephone | 772-618-3987
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 28147300A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 28147300A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 28147300A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9366389
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP138789
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License Number State | TX
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