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General NPI Number Information
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NPI Number | 1518966001
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Entity Type | Individual
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Provider Name | TONYA M MELTON APRN-BC, FNP
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Gender | Female
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 500 KIRTS BLVD STE 200
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City | TROY
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State | MI
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Zip | 48084-4140
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Country | US
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Telephone | 947-500-4015
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Fax |
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Provider Business Mailing Address
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Address Line | 15225 HILLCREST CT
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City | LIVONIA
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State | MI
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Zip | 48154-3656
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Country | US
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Telephone | 248-910-4071
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Fax | 952-400-8802
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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 | 4704234173
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License Number State | MI
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