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General NPI Number Information
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NPI Number | 1679430235
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Entity Type | Individual
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Provider Name | MELODY STEVENS
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Gender | Female
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 77 NEALY
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City | HAMPTON
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State | VA
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Zip | 23665
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Country | US
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Telephone | 757-764-1937
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Fax |
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Provider Business Mailing Address
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Address Line | 4 ADRIAN CIR
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City | HAMPTON
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State | VA
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Zip | 23669-3815
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Country | US
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Telephone | 757-813-5405
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0001232367
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License Number State | VA
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