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General NPI Number Information
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NPI Number | 1396987103
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Entity Type | Individual
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Provider Name | MELANIE MARIE ROONEY CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/26/2009
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 311 N CLYDE MORRIS BLVD STE 350
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2759
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Country | US
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Telephone | 386-405-0663
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Fax |
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Provider Business Mailing Address
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Address Line | 255 W MICHIGAN AVE
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City | JACKSON
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State | MI
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Zip | 49204-1123
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP 3077912
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License Number State | FL
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