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General NPI Number Information
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NPI Number | 1336571629
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Entity Type | Individual
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Provider Name | MELISSA RENE OLIN FNP, RN
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Gender | Female
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Dates
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Enumeration Date | 08/08/2013
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2965 NE CONNERS AVE SUITE 280
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City | BEND
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State | OR
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Zip | 97701
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Country | US
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Telephone | 541-323-4269
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 E 1ST ST PO BOX 467
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City | NEWTON
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State | KS
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Zip | 67114-0467
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Country | US
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Telephone | 316-284-6402
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Fax | 316-284-6402
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 201242749RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95020134
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License Number State | CA
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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 | APRN11014896
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License Number State | FL
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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 | RN308282
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-5233-0
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License Number State | HI
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209025628
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5015817
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 78010
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License Number State | NM
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 886677
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License Number State | NV
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 349236
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License Number State | NY
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1050279
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License Number State | TX
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Taxonomy #12
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024183263
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License Number State | VA
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Taxonomy #13
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61223702
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License Number State | WA
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Taxonomy #14
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201250180NP
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License Number State | OR
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