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General NPI Number Information
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NPI Number | 1871436055
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Entity Type | Individual
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Provider Name | HAYLEY MELLISH MS, RD
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Gender | Female
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 607 N RED BUD TRL APT 5
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City | BUCHANAN
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State | MI
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Zip | 49107-1353
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Country | US
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Telephone | 773-682-9237
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Fax |
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Provider Business Mailing Address
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Address Line | 607 N RED BUD TRL APT 5
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City | BUCHANAN
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State | MI
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Zip | 49107-1353
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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 |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86376124
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License Number State | MI
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