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General NPI Number Information
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NPI Number | 1952395923
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Entity Type | Individual
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Provider Name | SHEILA DRAKE MELANDER APRN
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Gender | Female
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 317 E MAIN ST
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City | WILMORE
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State | KY
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Zip | 40390-1323
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Country | US
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Telephone | 859-858-0339
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Fax | 859-858-0341
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Provider Business Mailing Address
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Address Line | 815 E PARRISH AVE SUITE 330
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City | OWENSBORO
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State | KY
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Zip | 42303-3222
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Country | US
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Telephone | 270-926-2998
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Fax | 270-926-1181
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN0000121082
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 3223P
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 28107289A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 3003223
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License Number State | KY
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