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General NPI Number Information
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NPI Number | 1235901059
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Entity Type | Individual
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Provider Name | MELISSA NICHOLE DELONG CNP
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Gender | Female
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 803 W MARKET ST STE 200
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City | LIMA
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State | OH
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Zip | 45805-2796
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Country | US
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Telephone | 419-222-3737
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Fax | 419-229-3234
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Provider Business Mailing Address
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Address Line | 15655 ROAD 23M
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City | FORT JENNINGS
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State | OH
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Zip | 45844-9021
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Country | US
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Telephone | 567-712-0855
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0032835
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License Number State | OH
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