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General NPI Number Information
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NPI Number | 1649639881
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Entity Type | Individual
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Provider Name | MRS. MELANIE GRAY
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Gender | Female
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 17448 HIGHWAY 3 STE 200
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City | WEBSTER
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State | TX
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Zip | 77598-4140
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Country | US
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Telephone | 832-505-1748
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Fax | 713-436-3639
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Provider Business Mailing Address
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Address Line | PO BOX 650859 DEPT 710
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City | DALLAS
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State | TX
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Zip | 75265-7028
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Country | US
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Telephone | 409-747-6240
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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 | AP130149
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License Number State | TX
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