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NPI 1821694936

NPI 1821694936 : DR. MELISSA KATHLEEN FRANKLIN : ALPINE, WY

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General NPI Number Information
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    NPI Number           |    1821694936
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    Entity Type          |    Individual 
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    Provider Name        |    DR. MELISSA KATHLEEN FRANKLIN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/05/2020
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    Last Update Date     |    04/29/2022
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Provider Practice Location Address
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    Address Line         |    168 US HIGHWAY 89 SUITE C 
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    City                 |    ALPINE
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    State                |    WY
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    Zip                  |    83128
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    Country              |    US
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    Telephone            |    307-226-4404
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    271 ALPENGLOW DR 
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    City                 |    STAR VALLEY RANCH
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    State                |    WY
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    Zip                  |    83127-5186
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    Country              |    US
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    Telephone            |    952-250-7411
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    37
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    License Number State |    WY
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Taxonomy #2
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    1955
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    License Number State |    MN
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