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General NPI Number Information
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NPI Number | 1508229840
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Entity Type | Individual
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Provider Name | MELISSA D THOMAS FNP
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Gender | Female
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 213 N MCDONALD ST STE A&B
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City | LUDOWICI
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State | GA
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Zip | 31316
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Country | US
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Telephone | 912-545-9398
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Fax | 912-545-2747
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Provider Business Mailing Address
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Address Line | 512 S MAIN ST STE B
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City | HINESVILLE
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State | GA
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Zip | 31313-4344
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Country | US
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Telephone | 912-844-0302
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Fax | 123-695-7409
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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 | RN140886
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License Number State | GA
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