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General NPI Number Information
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NPI Number | 1336471119
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Entity Type | Individual
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Provider Name | MELINDA J. ENGEL RNFA
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Gender | Female
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Dates
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Enumeration Date | 02/04/2010
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 971 LAKELAND DR STE 750 MISSISSIPPI ONCOLOGY ASSOCIATES
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City | JACKSON
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State | MS
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Zip | 39216
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Country | US
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Telephone | 601-947-9995
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Fax | 601-987-9830
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Provider Business Mailing Address
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Address Line | 971 LAKELAND DR STE 750 MISSISSIPPI ONCOLOGY ASSOCIATES
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City | JACKSON
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State | MS
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Zip | 39216
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Country | US
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Telephone | 601-987-3033
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Fax | 601-987-8768
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | R857914
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License Number State | MS
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