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General NPI Number Information
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NPI Number | 1366900193
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Entity Type | Individual
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Provider Name | MELANIE GRIFFITH ROBERTS APRN, CNS
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Gender | Female
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 2500 ROCKY MOUNTAIN AVE
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City | LOVELAND
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State | CO
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Zip | 80538-9004
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Country | US
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Telephone | 970-624-2154
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Fax |
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Provider Business Mailing Address
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Address Line | 3009 BRANDING IRON CIR
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City | MILLIKEN
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State | CO
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Zip | 80543-9685
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Country | US
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Telephone | 970-590-5719
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 0076746
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 364SC0200X
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Taxonomy Name | Critical Care Medicine Clinical Nurse Specialist
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License Number | 0002144
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License Number State | CO
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