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General NPI Number Information
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NPI Number | 1679665301
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Entity Type | Individual
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Provider Name | MELISSA MARIE RODRIGUEZ-RAMOS FNP
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 83 MAIDEN LN
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City | NEW YORK
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State | NY
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Zip | 10038-4812
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Country | US
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Telephone | 212-780-4459
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 854
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City | ROCK HILL
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State | NY
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Zip | 12775-0854
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Country | US
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Telephone |
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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 | F334277
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License Number State | NY
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