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General NPI Number Information
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NPI Number | 1902035611
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Entity Type | Individual
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Provider Name | MELISSA BAILEY SWINEA ANP
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Gender | Female
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 05/27/2024
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Provider Practice Location Address
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Address Line | 3493 VETERANS DR N STE C
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City | HUNTINGDON
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State | TN
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Zip | 38344-6230
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Country | US
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Telephone | 731-986-2933
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Fax | 731-986-2938
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Provider Business Mailing Address
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Address Line | 237 MEADOWWOOD DR
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City | MC KENZIE
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State | TN
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Zip | 38201-1329
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Country | US
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Telephone | 731-415-1835
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 7574
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License Number State | TN
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