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General NPI Number Information
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NPI Number | 1932067808
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Entity Type | Individual
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Provider Name | MELISSA ANN BRACKETT CNM
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 850 FLOYD ROAD EXT
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City | SPARTANBURG
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State | SC
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Zip | 29307-1048
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Country | US
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Telephone | 864-285-0574
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Fax | 864-285-0583
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Provider Business Mailing Address
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Address Line | 1850 MOTLOW CREEK RD
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City | CAMPOBELLO
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State | SC
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Zip | 29322-8131
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Country | US
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Telephone | 864-978-2031
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.31393APRN
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License Number State | SC
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