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General NPI Number Information
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NPI Number | 1821366691
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Entity Type | Individual
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Provider Name | MELISSA ANN KREBS LPN,WCC
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Gender | Female
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 16 WOODLAND HILLS DR SUITE 9
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City | SOUTHGATE
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State | KY
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Zip | 41071-5472
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Country | US
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Telephone | 513-544-0643
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Fax |
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Provider Business Mailing Address
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Address Line | 16 WOODLAND HILLS DR SUITE 9
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City | SOUTHGATE
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State | KY
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Zip | 41071-5472
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Country | US
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Telephone | 513-544-0643
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 134989
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License Number State | OH
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