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General NPI Number Information
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NPI Number | 1770492399
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Entity Type | Individual
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Provider Name | MELISSA NABOROWSKY
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Gender | Female
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 3321 LADSON RD
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City | LADSON
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State | SC
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Zip | 29456-3905
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Country | US
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Telephone | 843-818-1807
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Fax | 843-628-1053
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Provider Business Mailing Address
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Address Line | 1019 PERIDOTE WAY
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City | LADSON
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State | SC
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Zip | 29456-5339
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Country | US
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Telephone | 843-818-1807
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Fax | 843-628-1053
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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 | 275315
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License Number State | SC
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