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General NPI Number Information
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NPI Number | 1659246171
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Entity Type | Individual
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Provider Name | MELISSA SELLERS LPN
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Gender | Female
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 4977 NORTHCUTT PL
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City | DAYTON
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State | OH
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Zip | 45414-3839
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Country | US
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Telephone | 800-829-5461
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Fax | 800-829-5461
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Provider Business Mailing Address
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Address Line | 8466 SLATE CREEK RD
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City | ROCKPORT
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State | WV
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Zip | 26169-8183
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Country | US
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Telephone | 304-991-5302
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 37883
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License Number State | WV
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