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General NPI Number Information
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NPI Number | 1891160529
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Entity Type | Individual
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Provider Name | MELISSA MARIE BORDELON PNP
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Gender | Female
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 501 MEDICAL CENTER DR
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8124
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Country | US
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Telephone | 318-769-7330
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Fax |
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Provider Business Mailing Address
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Address Line | 1581 HIGHWAY 452
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City | MARKSVILLE
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State | LA
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Zip | 71351-3432
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Country | US
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Telephone | 318-715-6116
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP08560
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | AP08560
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License Number State | LA
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