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General NPI Number Information
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NPI Number | 1003237876
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Entity Type | Individual
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Provider Name | MELISSA BLUFORD
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Gender | Female
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Dates
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Enumeration Date | 12/21/2013
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 2201 CHAPEL AVE W
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2048
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Country | US
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Telephone | 856-665-3613
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Fax | 856-665-7127
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Provider Business Mailing Address
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Address Line | 57 HADDONFIELD RD
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City | CHERRY HILL
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State | NJ
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Zip | 08002-4813
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Country | US
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Telephone | 856-566-6200
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC0631820044
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License Number State | NJ
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