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General NPI Number Information
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NPI Number | 1669877965
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Entity Type | Individual
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Provider Name | MELISSA RAYMOND APRN
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Gender | Female
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 4200 REGENT ST STE 200
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City | COLUMBUS
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State | OH
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Zip | 43219-6229
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Country | US
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Telephone | 877-870-1775
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Fax | 614-968-8840
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Provider Business Mailing Address
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Address Line | 132 CLAREMONT RD
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City | OAK RIDGE
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State | TN
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Zip | 37830-7168
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Country | US
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Telephone | 865-210-2711
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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 | ARNP9383083
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 354984
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 25367
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License Number State | TN
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