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General NPI Number Information
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NPI Number | 1851457212
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Entity Type | Individual
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Provider Name | MELANIE LOUISE MCKINLEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 2000 N MAYS ST SUITE 109
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City | ROUND ROCK
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State | TX
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Zip | 78664-2166
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Country | US
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Telephone | 254-285-6265
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Fax |
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Provider Business Mailing Address
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Address Line | 10243 METZ VLY
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City | SCHERTZ
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State | TX
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Zip | 78154-4050
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Country | US
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Telephone | 512-965-1445
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA2859
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA01247
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 13340978-1206
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9119476
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA0008841
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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