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General NPI Number Information
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NPI Number | 1730713892
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Entity Type | Individual
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Provider Name | MELANIE HUNTER
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Gender | Female
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 9135 GRAPEVINE HWY
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-5686
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Country | US
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Telephone | 817-605-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 336 VISTA WAY DR
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City | SAGINAW
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State | TX
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Zip | 76179-1393
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Country | US
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Telephone | 817-692-5469
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29297
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License Number State | TX
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