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General NPI Number Information
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NPI Number | 1003085960
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Entity Type | Organization
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Legal Business Name | MELISSA MCCABE, P.A.
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 51 CHURCH ST
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-2074
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Country | US
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Telephone | 518-490-6429
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Fax | 518-490-6429
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Provider Business Mailing Address
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Address Line | 51 CHURCH ST
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-2074
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Country | US
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Telephone | 518-490-6429
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Fax | 518-490-6429
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MELISSA MCCABE
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Credential | MS, LMHC, NCC
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Telephone | 518-490-6429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH 6756
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 6756
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 004431-1
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License Number State | NY
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