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General NPI Number Information
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NPI Number | 1326519828
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Entity Type | Individual
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Provider Name | MELISSA JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 12/09/2018
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 67D MAIN ST
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City | MEDWAY
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State | MA
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Zip | 02053-1831
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Country | US
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Telephone | 401-652-9787
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Fax |
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Provider Business Mailing Address
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Address Line | 4153 HEADLAND CT
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City | MASON
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State | OH
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Zip | 45040-7683
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 023512
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License Number State | OH
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