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General NPI Number Information
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NPI Number | 1316260904
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Entity Type | Individual
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Provider Name | MELISSA LYNN MAPLES CPNP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2010
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1007 GOODYEAR AVE
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City | GADSDEN
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State | AL
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Zip | 35903-1195
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Country | US
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Telephone | 256-494-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 221 TECHNOLOGY PKWY NW
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City | ROME
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State | GA
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Zip | 30165-1369
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Country | US
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Telephone | 762-235-1000
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN132924
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1-112048
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License Number State | AL
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