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General NPI Number Information
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NPI Number | 1831330547
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Entity Type | Organization
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Legal Business Name | THERESA M. MELOCHE, A.R.N.P. & ASSOCIATES, PLLC
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Dates
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Enumeration Date | 03/10/2009
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Last Update Date | 03/02/2011
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Provider Practice Location Address
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Address Line | 4120 CHARMWOOD AVE.
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City | SPRING HILL
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State | FL
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Zip | 34609
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Country | US
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Telephone | 352-684-5611
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Fax |
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Provider Business Mailing Address
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Address Line | 4120 CHARMWOOD AVE.
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City | SPRING HILL
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State | FL
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Zip | 34609
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | THERESA M. MELOCHE
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Credential | A.R.N.P.
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Telephone | 352-684-5611
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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 | ARNP 9167432
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License Number State | FL
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