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General NPI Number Information
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NPI Number | 1639881436
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Entity Type | Individual
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Provider Name | MELINDA B WELCH FNP
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Gender | Female
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Dates
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Enumeration Date | 12/23/2022
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 537 S MICHILLINDA AVE
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City | PASADENA
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State | CA
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Zip | 91107-5706
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Country | US
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Telephone | 310-300-1970
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1445
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City | ARCADIA
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State | CA
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Zip | 91077-1445
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Country | US
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Telephone | 310-300-1970
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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 | 95023336
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License Number State | CA
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