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General NPI Number Information
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NPI Number | 1619855277
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Entity Type | Individual
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Provider Name | MELISSA BLAIRE BAIRD FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 3803 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27455-2593
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Country | US
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Telephone | 855-247-8474
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Fax |
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Provider Business Mailing Address
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Address Line | 10601 CHRISTANNA HWY
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City | LAWRENCEVILLE
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State | VA
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Zip | 23868-4504
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Country | US
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Telephone | 804-704-2866
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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 | 5022923
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License Number State | NC
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