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General NPI Number Information
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NPI Number | 1316405996
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Entity Type | Individual
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Provider Name | MELISSA SUE KIRKPATRICK APRN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 418 N MAIN ST FL 2
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City | ROYAL OAK
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State | MI
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Zip | 48067-1813
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Country | US
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Telephone | 586-786-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 19007 FILMORE ST
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City | LIVONIA
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State | MI
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Zip | 48152-3096
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Country | US
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Telephone | 586-291-9457
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11007252
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704263793
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704263793
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11007252
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License Number State | FL
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