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General NPI Number Information
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NPI Number | 1538754650
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Entity Type | Individual
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Provider Name | MELISSA OWENS RN
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Gender | Female
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 501 WILSON LN STE 3
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City | ELKINS
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State | WV
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Zip | 26241-5216
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Country | US
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Telephone | 304-636-9396
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1731
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City | ELKINS
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State | WV
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Zip | 26241-1731
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Country | US
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Telephone | 304-591-1834
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 70679
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License Number State | WV
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