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General NPI Number Information
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NPI Number | 1265328462
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Entity Type | Individual
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Provider Name | ANGELA MELILLO
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 2623 S SEACREST BLVD STE 106
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7531
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Country | US
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Telephone | 561-501-1633
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 935144
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City | MARGATE
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State | FL
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Zip | 33093-5144
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Country | US
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Telephone | 813-404-2873
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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 | 11040298
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License Number State | FL
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