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General NPI Number Information
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NPI Number | 1922189257
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Entity Type | Individual
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Provider Name | MELISSA ANN PALKO CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 2000 MON HEALTH MEDICAL PARK DR STE 2001
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City | MORGANTOWN
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State | WV
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Zip | 26505-1167
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Country | US
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Telephone | 304-720-8816
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Fax | 904-494-6467
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Provider Business Mailing Address
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Address Line | PO BOX 3466
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City | CHARLESTON
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State | WV
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Zip | 25334-3466
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Country | US
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Telephone | 304-720-8816
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Fax | 904-494-6467
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN527318L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN61206
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License Number State | WV
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