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General NPI Number Information
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NPI Number | 1578784856
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Entity Type | Individual
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Provider Name | MELISSA EDITH HODGES RN, MS, CNS
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2222 PHILADELPHIA DR
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City | DAYTON
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State | OH
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Zip | 45406-1813
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Country | US
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Telephone | 937-278-6251
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Fax | 937-276-8248
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Provider Business Mailing Address
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Address Line | 6350 LUNTSHIRE CT
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City | CENTERVILLE FINANCE
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State | OH
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Zip | 45459-2337
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Country | US
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Telephone | 937-278-6251
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Fax | 937-276-8248
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | NS-01537
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License Number State | OH
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