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General NPI Number Information
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NPI Number | 1942605142
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Entity Type | Individual
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Provider Name | MELISSA B HINDS APRN, NNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 4481 ASH GROVE DR STE B
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City | SPRINGFIELD
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State | IL
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Zip | 62711-6359
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Country | US
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Telephone | 217-803-7341
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Fax |
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Provider Business Mailing Address
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Address Line | 4481 ASH GROVE DR STE B
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City | SPRINGFIELD
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State | IL
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Zip | 62711-6359
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Country | US
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Telephone | 217-803-7341
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209011875
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 209-011875
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License Number State | IL
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