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General NPI Number Information
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NPI Number | 1699199455
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Entity Type | Individual
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Provider Name | MELISSA CHADWICK RN
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Gender | Female
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Dates
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Enumeration Date | 02/13/2014
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 2586 7TH AVE E STE 302
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City | NORTH SAINT PAUL
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State | MN
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Zip | 55109-3090
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Country | US
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Telephone | 651-633-7300
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Fax | 651-633-7301
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Provider Business Mailing Address
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Address Line | 2657 AUTUMN DR
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City | EVELETH
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State | MN
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Zip | 55734-8645
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Country | US
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Telephone | 218-750-3650
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Fax | 218-733-0717
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R140556-5
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License Number State | MN
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