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General NPI Number Information
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NPI Number | 1871134551
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Entity Type | Individual
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Provider Name | MELANIE LEE MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 1002 AVENUE A
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City | LUBBOCK
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State | TX
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Zip | 79401-3507
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Country | US
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Telephone | 806-762-1802
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Fax |
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Provider Business Mailing Address
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Address Line | 5105 46TH ST
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City | LUBBOCK
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State | TX
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Zip | 79414-3231
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Country | US
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Telephone | 806-317-4834
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP140839
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License Number State | TX
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