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General NPI Number Information
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NPI Number | 1689284895
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Entity Type | Individual
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Provider Name | MELISSA RENE' AKER
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Gender | Female
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Dates
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Enumeration Date | 08/03/2020
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Last Update Date | 08/03/2020
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Provider Practice Location Address
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Address Line | 402 BOGLE ST STE 2
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City | SOMERSET
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State | KY
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Zip | 42503-2870
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Country | US
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Telephone | 606-451-3145
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 E HIGHWAY 619
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City | RUSSELL SPRINGS
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State | KY
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Zip | 42642-7933
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Country | US
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Telephone | 859-402-6280
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 3014809
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License Number State | KY
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