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General NPI Number Information
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NPI Number | 1568873206
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Entity Type | Individual
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Provider Name | MELISSA G BAKKER DNP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2014
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 500 JOHN DEERE RD
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City | MOLINE
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State | IL
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Zip | 61265-6892
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Country | US
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Telephone | 308-779-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 904 DILLON GRIBBLE RD
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City | SPARTA
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State | TN
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Zip | 38583-6420
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Country | US
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Telephone | 404-441-2307
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 28301482
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 101270
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4038604
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 225992
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 209-026749
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 43-557677-121
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License Number State | KS
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Taxonomy #7
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 26968
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License Number State | TN
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