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General NPI Number Information
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NPI Number | 1386033652
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Entity Type | Individual
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Provider Name | MELISSA AMBLER
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Gender | Female
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Dates
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Enumeration Date | 01/09/2015
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 907 E LAMAR ALEXANDER PKWY
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City | MARYVILLE
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State | TN
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Zip | 37804-5015
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Country | US
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Telephone | 865-980-5089
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 19390
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APN0000019390
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License Number State | TN
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