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General NPI Number Information
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NPI Number | 1760660682
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Entity Type | Individual
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Provider Name | MELISSA SCHILLAGE CPNP
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Gender | Female
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 11/16/2024
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Provider Practice Location Address
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Address Line | 42440 PELICAN PROFESSIONAL PARK
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City | HAMMOND
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State | LA
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Zip | 70403-2403
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Country | US
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Telephone | 985-542-4950
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Fax | 985-542-6089
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Provider Business Mailing Address
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Address Line | PO BOX 2668 BUSINESS CTR - INS CREDENTIALING
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City | HAMMOND
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State | LA
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Zip | 70404-2403
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Country | US
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Telephone | 985-230-1682
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Fax | 985-230-6652
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP05450
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License Number State | LA
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