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General NPI Number Information
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NPI Number | 1982014676
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Entity Type | Individual
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Provider Name | MELISSA LYNN CULLINGFORD N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 295 VARNUM AVE
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City | LOWELL
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State | MA
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Zip | 01854-2134
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Country | US
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Telephone | 978-937-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 YORK AVE APT 21M
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City | NEW YORK
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State | NY
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Zip | 10021-4861
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Country | US
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Telephone | 857-205-7085
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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 | 269273
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License Number State | MA
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