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General NPI Number Information
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NPI Number | 1861864159
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Entity Type | Individual
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Provider Name | DANIELLE ANN MELICAN CNM
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Gender | Female
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 2490 PENNINGTON RD #204
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City | PENNINGTON
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State | NJ
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Zip | 08534-5225
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Country | US
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Telephone | 609-737-7512
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Fax |
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Provider Business Mailing Address
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Address Line | 54 MARY ST
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City | BORDENTOWN
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State | NJ
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Zip | 08505-1812
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Country | US
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Telephone | 609-440-8859
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | LK-0010241
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 25ME00058600
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License Number State | NJ
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