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General NPI Number Information
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NPI Number | 1417696816
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Entity Type | Individual
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Provider Name | MELISSA RENEE HALL APRN, MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 3778 MEDINA RD
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City | MEDINA
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State | OH
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Zip | 44256
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Country | US
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Telephone | 330-764-3457
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Fax |
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Provider Business Mailing Address
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Address Line | 3963 TALBOT DR
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City | MEDINA
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State | OH
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Zip | 44256-5948
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Country | US
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Telephone | 314-546-6006
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2020033728
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0034113
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License Number State | OH
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