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General NPI Number Information
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NPI Number | 1366116907
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Entity Type | Individual
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Provider Name | MELIHA AVDIC-BAJRAMOVIC FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/06/2021
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 15 OLD WEST ELM ST
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City | PEMBROKE
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State | MA
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Zip | 02359-1731
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Country | US
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Telephone | 781-202-9292
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Fax |
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Provider Business Mailing Address
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Address Line | 15 OLD WEST ELM ST
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City | PEMBROKE
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State | MA
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Zip | 02359-1731
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Country | US
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Telephone | 781-202-9292
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Fax | 978-745-8888
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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 | F04210715
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License Number State | MA
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