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General NPI Number Information
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NPI Number | 1437830668
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Entity Type | Individual
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Provider Name | MELANIE MANUEL FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 5625 LOSEE RD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89081-2523
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Country | US
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Telephone | 702-552-1818
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Fax | 702-968-8637
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Provider Business Mailing Address
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Address Line | 3089 AZURE BAY ST
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City | LAS VEGAS
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State | NV
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Zip | 89117-2572
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Country | US
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Telephone | 702-580-3875
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 864101
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License Number State | NV
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