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General NPI Number Information
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NPI Number | 1316347925
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Entity Type | Individual
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Provider Name | MELISA SIRNA FNP
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Gender | Female
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 172 LINDEN DR STE 107
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City | WINCHESTER
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State | VA
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Zip | 22601-2892
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Country | US
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Telephone | 855-695-8346
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Fax | 301-624-5837
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Provider Business Mailing Address
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Address Line | 77 THOMAS JOHNSON DR STE E
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City | FREDERICK
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State | MD
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Zip | 21702-4893
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Country | US
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Telephone | 301-695-8346
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Fax | 301-624-5837
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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 | 107404
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024172015
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AC004182
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License Number State | MD
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