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General NPI Number Information
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NPI Number | 1326776642
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Entity Type | Individual
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Provider Name | MELODY ADAMS PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/13/2022
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 224 CRUZ ALTA RD STE J
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City | TAOS
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State | NM
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Zip | 87571-5947
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Country | US
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Telephone | 575-737-3415
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Fax | 575-737-3416
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Provider Business Mailing Address
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Address Line | 404 N ROOSEVELT AVE
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City | SAND SPRINGS
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State | OK
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Zip | 74063-7156
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA2024-0151
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License Number State | NM
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