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General NPI Number Information
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NPI Number | 1871774950
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Entity Type | Individual
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Provider Name | MELANIE J SMITH
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Gender | Female
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Dates
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Enumeration Date | 11/17/2007
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | 2580 CONSTITUTION BLVD
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City | BEAVER FALLS
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State | PA
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Zip | 15010-1294
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Country | US
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Telephone | 724-770-7999
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Fax | 724-843-1514
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Provider Business Mailing Address
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Address Line | 716 PARK RD
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City | AMBRIDGE
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State | PA
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Zip | 15003-2420
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Country | US
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Telephone | 907-304-4005
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26822
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 321791
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP019163
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License Number State | PA
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