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General NPI Number Information
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NPI Number | 1992727481
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Entity Type | Individual
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Provider Name | MELISSA R ERDMANN FNP
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 3274 51ST ST S
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City | FARGO
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State | ND
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Zip | 58104-7179
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Country | US
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Telephone | 701-364-3660
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Fax | 701-364-3661
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Provider Business Mailing Address
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Address Line | 3274 51ST ST S
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City | FARGO
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State | ND
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Zip | 58104-7179
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Country | US
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Telephone | 701-364-3660
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Fax | 701-364-3661
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R1539486
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R28446
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R28446
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License Number State | ND
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