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General NPI Number Information
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NPI Number | 1487832218
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Entity Type | Individual
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Provider Name | MELISSA MARIE BURNETT BROWN D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 625 N 114TH ST
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City | OMAHA
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State | NE
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Zip | 68154-1514
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Country | US
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Telephone | 402-523-2761
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Fax | 402-284-5144
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Provider Business Mailing Address
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Address Line | 625 N 114TH ST
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City | OMAHA
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State | NE
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Zip | 68154-1514
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Country | US
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Telephone | 402-284-5144
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4677
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1781
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License Number State | NE
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