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General NPI Number Information
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NPI Number | 1457705675
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Entity Type | Individual
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Provider Name | MELINDA HALSTEAD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 901 SUNCOOK VALLEY HWY
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City | EPSOM
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State | NH
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Zip | 03234-4329
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Country | US
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Telephone | 603-736-4772
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Fax |
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Provider Business Mailing Address
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Address Line | 6 RANGE RD
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City | LOUDON
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State | NH
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Zip | 03307-1134
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 064238-23
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License Number State | NH
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