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General NPI Number Information
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NPI Number | 1255295150
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Entity Type | Individual
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Provider Name | MELISSA LYNN FOURIE
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Gender | Female
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 335 N ALMA SCHOOL RD
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City | CHANDLER
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State | AZ
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Zip | 85224-4363
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Country | US
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Telephone | 480-571-5541
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Fax |
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Provider Business Mailing Address
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Address Line | 1690 S SAN TAN VILLAGE PKWY APT 3083
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City | GILBERT
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State | AZ
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Zip | 85295-9800
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Country | US
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Telephone | 480-771-0819
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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