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General NPI Number Information
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NPI Number | 1316498934
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Entity Type | Individual
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Provider Name | MELANIE DACUMOS YOINGCO BSN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 03/23/2025
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Provider Practice Location Address
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Address Line | 11201 BENTON ST
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City | LOMA LINDA
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State | CA
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Zip | 92357-2433
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Country | US
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Telephone | 909-825-2089
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Fax |
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Provider Business Mailing Address
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Address Line | 2499 DOWNING CT
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City | GURNEE
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State | IL
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Zip | 60031-1095
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Country | US
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Telephone | 224-399-9500
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 041285592
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 209.015147
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License Number State | IL
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