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General NPI Number Information
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NPI Number | 1902678733
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Entity Type | Individual
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Provider Name | MELINDA A LEVI FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 16610 CHURCH ST
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City | LETTSWORTH
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State | LA
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Zip | 70753-7075
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Country | US
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Telephone | 225-718-9380
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 121
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City | LETTSWORTH
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State | LA
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Zip | 70753-0121
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Country | US
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Telephone | 225-718-9380
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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 | 232544
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License Number State | LA
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