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General NPI Number Information
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NPI Number | 1952312720
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Entity Type | Individual
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Provider Name | MELANIE ANN DOLESE ACNP
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Gender | Female
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 100 MEDICAL CENTER DR
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City | SLIDELL
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State | LA
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Zip | 70461-5520
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Country | US
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Telephone | 985-646-5627
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MEDICAL CENTER DR
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City | SLIDELL
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State | LA
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Zip | 70461-5520
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Country | US
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Telephone | 985-646-5627
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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 | R856944
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP04922
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN063398
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License Number State | LA
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