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General NPI Number Information
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NPI Number | 1972484582
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Entity Type | Individual
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Provider Name | MELISSA FORSYTHE ACNPC-AG
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Gender | Female
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 500 N HIGHLAND AVE
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City | SHERMAN
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State | TX
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Zip | 75092-7354
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Country | US
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Telephone | 903-870-4595
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Fax | 903-870-5520
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Provider Business Mailing Address
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Address Line | 912 WESTBROOK CIR
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-4284
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1208622
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License Number State | TX
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