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General NPI Number Information
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NPI Number | 1710824214
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Entity Type | Individual
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Provider Name | MELINDA NOWAK PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 2443 WARRENVILLE RD STE 500
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City | LISLE
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State | IL
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Zip | 60532-4356
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Country | US
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Telephone | 866-902-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 1168 N DEL MAR DR
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City | PALATINE
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State | IL
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Zip | 60067-2711
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Country | US
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Telephone | 847-226-4665
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209024368
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License Number State | IL
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