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General NPI Number Information
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NPI Number | 1598158180
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Entity Type | Individual
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Provider Name | MELISSA ANN COX FNP-C, ENP-C
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Gender | Female
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Dates
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Enumeration Date | 03/06/2015
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 7035 PALM AVE
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City | HIGHLAND
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State | CA
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Zip | 92346-3291
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Country | US
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Telephone | 909-864-0142
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Fax |
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Provider Business Mailing Address
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Address Line | 15218 SUMMIT AVE STE 300-415
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City | FONTANA
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State | CA
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Zip | 92336-0232
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Country | US
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Telephone | 909-620-1379
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95001773
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License Number State | CA
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