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General NPI Number Information
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NPI Number | 1588167563
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Entity Type | Individual
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Provider Name | MELANIE STAEHELIN NP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2018
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Last Update Date | 05/17/2018
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Provider Practice Location Address
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Address Line | 2907 EL CAMINO REAL
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City | REDWOOD CITY
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State | CA
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Zip | 94061
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Country | US
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Telephone | 650-503-7810
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Fax | 650-298-9875
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Provider Business Mailing Address
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Address Line | 1691 THE ALAMEDA
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City | SAN JOSE
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State | CA
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Zip | 95126-2203
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Country | US
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Telephone | 408-795-3619
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 95007975
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 235918
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License Number State | CA
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