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General NPI Number Information
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NPI Number | 1396896569
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Entity Type | Individual
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Provider Name | TAMI MELLINGER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 2230 N RESERVE ST STE 110
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City | MISSOULA
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State | MT
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Zip | 59808-1364
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Country | US
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Telephone | 406-926-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 5112 4TH AVE N APT 4
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City | GREAT FALLS
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State | MT
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Zip | 59405-1338
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Country | US
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Telephone | 406-750-8776
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Fax | 406-727-0007
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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 | RN020602
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License Number State | MT
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