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General NPI Number Information
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NPI Number | 1831629922
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Entity Type | Individual
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Provider Name | JAIME C MELHORN DNP, NP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2017
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 3300 GALLOWS RD
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3307
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Country | US
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Telephone | 703-776-4289
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Fax | 703-776-3020
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Provider Business Mailing Address
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Address Line | 7616 HEARTHSIDE WAY UNIT 3053
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City | ELKRIDGE
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State | MD
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Zip | 21075-7620
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Country | US
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Telephone | 412-952-0437
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R240614
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024180882
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License Number State | VA
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