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General NPI Number Information
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NPI Number | 1336684539
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Entity Type | Individual
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Provider Name | MELANIE KATE ZIELKE APRN
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Gender | Female
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Dates
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Enumeration Date | 12/23/2016
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 6861 VILLAGREEN VW
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City | ROCKFORD
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State | IL
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Zip | 61107-5639
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Country | US
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Telephone | 779-696-0250
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Fax | 815-633-8543
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Provider Business Mailing Address
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Address Line | 6861 VILLAGREEN VW
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City | ROCKFORD
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State | IL
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Zip | 61107-5639
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Country | US
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Telephone | 779-696-0250
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Fax | 815-633-8543
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209033188
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License Number State | IL
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