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General NPI Number Information
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NPI Number | 1558349928
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Entity Type | Individual
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Provider Name | MELINDA JANINE ARMSTRONG PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 10/10/2016
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Provider Practice Location Address
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Address Line | KWAJALEIN HOSPITAL
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City | APO
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State | AP
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Zip | 96555
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Country | US
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Telephone | 805-355-2223
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 142465
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City | FAYETTEVILLE
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State | GA
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Zip | 30214
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 003870
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | AMD-693
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA1089
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 4418
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License Number State | AZ
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