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General NPI Number Information
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NPI Number | 1366949521
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Entity Type | Individual
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Provider Name | MELISSA ANN MCDOWELL FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 775 SUNSET DR
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City | ATHENS
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State | GA
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Zip | 30606-2211
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Country | US
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Telephone | 706-425-1500
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Fax | 706-425-1550
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Provider Business Mailing Address
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Address Line | 3519 LAKE MILL RD
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City | BUFORD
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State | GA
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Zip | 30519-5352
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.025279
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License Number State | OH
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