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General NPI Number Information
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NPI Number | 1255438636
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Entity Type | Individual
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Provider Name | MELINDA B HENNE MD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1446 W PLEASANT GROVE BLVD
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-3216
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Country | US
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Telephone | 801-785-5100
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Fax | 801-785-4597
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Provider Business Mailing Address
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Address Line | 1446 W PLEASANT GROVE BLVD
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-3216
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Country | US
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Telephone | 801-785-5100
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Fax | 801-785-4597
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | ME131549
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 14205993-1235
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License Number State | UT
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