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General NPI Number Information
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NPI Number | 1275294878
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Entity Type | Organization
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Legal Business Name | MELISSA WHITMIRE NP PLLC
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 1904 BRAZOS AVE
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City | ROCKDALE
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State | TX
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Zip | 76567-2518
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Country | US
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Telephone | 254-482-1013
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Fax |
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Provider Business Mailing Address
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Address Line | 6335 COUNTY ROAD 328
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City | MILANO
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State | TX
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Zip | 76556-2972
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Country | US
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Telephone | 254-482-1013
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MELISSA WHITMIRE
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Credential | MSN, APRN, FNP-C
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Telephone | 254-482-1013
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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 |
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License Number State |
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