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General NPI Number Information
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NPI Number | 1508752726
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Entity Type | Individual
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Provider Name | MELISSA COLLINS RN
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 304 FRIENDSHIP RD
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City | SOMERVILLE
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State | AL
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Zip | 35670-3713
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Country | US
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Telephone | 256-621-0661
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Fax |
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Provider Business Mailing Address
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Address Line | 11200 PACKARD DR NW UNIT 1203
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City | MADISON
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State | AL
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Zip | 35756-7706
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Country | US
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Telephone | 256-621-0661
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1-097737
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 1-097737
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License Number State | AL
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