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General NPI Number Information
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NPI Number | 1891216164
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Entity Type | Individual
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Provider Name | MELANIE LOUISE GOODRICH FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 19 DODGE ST
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City | BEVERLY
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State | MA
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Zip | 01915-1705
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Country | US
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Telephone | 617-865-2749
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Fax |
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Provider Business Mailing Address
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Address Line | 45 TRADERS WAY APT 30113
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City | SALEM
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State | MA
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Zip | 01970-1387
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Country | US
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Telephone | 520-256-3126
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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 | RN2389822
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP10284
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License Number State | AZ
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