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General NPI Number Information
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NPI Number | 1447708276
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Entity Type | Individual
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Provider Name | JOLEEN MELENDEZ R.N.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 18 MYRTLE ST
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City | MEDFORD
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State | OR
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Zip | 97504-7471
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Country | US
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Telephone | 541-779-0100
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Fax | 541-779-0107
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Provider Business Mailing Address
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Address Line | 615 NW 4TH ST
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City | GRANTS PASS
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State | OR
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Zip | 97526-2021
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Country | US
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Telephone | 541-218-7702
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Fax | 541-779-0107
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 201242273RN
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License Number State | OR
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