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General NPI Number Information
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NPI Number | 1780559898
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Entity Type | Individual
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Provider Name | MELYSSA GLEED
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Gender | Female
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 900 SUNSET DR
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City | LA GRANDE
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State | OR
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Zip | 97850-1387
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Country | US
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Telephone | 541-963-8421
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Fax |
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Provider Business Mailing Address
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Address Line | 378 N MAIN ST # 141
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City | LAYTON
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State | UT
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Zip | 84041-7102
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Country | US
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Telephone | 801-300-0500
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10049108
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License Number State | OR
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