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General NPI Number Information
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NPI Number | 1386532471
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Entity Type | Organization
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Legal Business Name | MELISSA BORDELON LLC
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 5920 COLISEUM BLVD
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City | ALEXANDRIA
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State | LA
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Zip | 71303-3714
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Country | US
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Telephone | 318-715-6116
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Fax |
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Provider Business Mailing Address
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Address Line | 1581 HIGHWAY 452
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City | MARKSVILLE
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State | LA
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Zip | 71351-3432
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Country | US
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Telephone | 318-715-6116
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Fax |
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Authorized Official
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Title or Position | NP
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Name | MELISSA M BORDELON
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Credential | NP
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Telephone | 318-715-6116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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