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General NPI Number Information
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NPI Number | 1588569669
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Entity Type | Organization
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Legal Business Name | MELISSA HOUSE, APRN, PLLC DBA PRESENCE MEDICAL CARE
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 789 LONESOME DOVE TRL
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City | HURST
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State | TX
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Zip | 76054-6018
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Country | US
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Telephone | 817-961-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 1128 CACTUS SPINE DR
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City | HASLET
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State | TX
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Zip | 76052-2899
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Country | US
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Telephone | 815-742-0448
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MELISSA HOUSE
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Credential | ADULT-GERO NP
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Telephone | 815-742-0448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State | NULL
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