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General NPI Number Information
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NPI Number | 1760642144
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Entity Type | Individual
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Provider Name | MELISSA EILEEN MOORE L.M.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 01/25/2026
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Provider Practice Location Address
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Address Line | 1545 WILLOW GLEN DR
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City | KALISPELL
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State | MT
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Zip | 59901-7544
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Country | US
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Telephone | 406-261-8343
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Fax |
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Provider Business Mailing Address
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Address Line | 1545 WILLOW GLEN DR
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City | KALISPELL
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State | MT
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Zip | 59901-7544
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Country | US
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Telephone | 406-261-8343
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 35
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License Number State | MT
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