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General NPI Number Information
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NPI Number | 1588011639
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Entity Type | Individual
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Provider Name | MELISSA ROCK NP-C
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Gender | Female
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 5621 CORSICA RD
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-6374
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Country | US
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Telephone | 361-387-5161
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Fax | 855-205-9365
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Provider Business Mailing Address
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Address Line | PO BOX 261017
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City | CORPUS CHRISTI
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State | TX
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Zip | 78426-1017
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Country | US
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Telephone | 361-387-5161
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Fax | 855-205-9365
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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 | AP133102
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License Number State | TX
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