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General NPI Number Information
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NPI Number | 1992264030
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Entity Type | Individual
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Provider Name | MELANIE ULRICH
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Gender | Female
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 4755 OGLETOWN STANTON RD STE 6E34
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City | NEWARK
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State | DE
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Zip | 19718-2200
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Country | US
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Telephone | 302-733-4186
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Fax | 302-733-6905
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Provider Business Mailing Address
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Address Line | 1602 RED TAIL DR
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City | VERONA
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State | WI
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Zip | 53593-7930
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 81861-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 81861-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number | 81861
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | C1-0027928
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number | C1-0027928
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License Number State | DE
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