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General NPI Number Information
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NPI Number | 1659906816
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Entity Type | Individual
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Provider Name | MELISSA MARTE APRN
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Gender | Female
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Dates
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Enumeration Date | 03/09/2020
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 5500 DR. MLK JR ST N
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City | ST. PETERSBURG
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State | FL
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Zip | 33703-1204
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Country | US
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Telephone | 727-210-8391
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Fax | 727-522-2574
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Provider Business Mailing Address
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Address Line | 1839 CENTRAL AVE
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City | ST. PETERSBURG
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State | FL
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Zip | 33713-8900
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Country | US
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Telephone | 727-322-1054
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Fax | 727-821-7213
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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 | APRN11005686
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License Number State | FL
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