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General NPI Number Information
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NPI Number | 1982639183
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Entity Type | Individual
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Provider Name | MELANIE JILL WILHELM DNP CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 612 KINGSBOROUGH SQ STE 301
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City | CHESAPEAKE
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State | VA
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Zip | 23320-5055
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Country | US
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Telephone | 757-436-1770
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Fax | 757-436-4303
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Provider Business Mailing Address
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Address Line | 601 CHILDRENS LN STE 200
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City | NORFOLK
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State | VA
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Zip | 23507-1910
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Country | US
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Telephone | 757-461-6342
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 0017137517
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License Number State | VA
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