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General NPI Number Information
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NPI Number | 1922184027
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Entity Type | Individual
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Provider Name | MELISSA LAMPP SUMNER APRN, BC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 03/13/2009
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Provider Practice Location Address
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Address Line | 400 TOWN PARK BLVD SUITE 300
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City | EVANS
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State | GA
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Zip | 30809-3471
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Country | US
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Telephone | 706-364-3292
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Fax |
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Provider Business Mailing Address
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Address Line | 4062 OREGON TRL
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City | MARTINEZ
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State | GA
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Zip | 30907-3383
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Country | US
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Telephone | 706-364-6483
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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 | RN146794NP
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License Number State | GA
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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 | 200650161NP
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License Number State | OR
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