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General NPI Number Information
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NPI Number | 1013373661
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Entity Type | Individual
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Provider Name | MELISSA PARDI MA, LMFT, LPCC
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Gender | Female
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 435 MOUNTAIN MEADOWS DR
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City | FAIRFIELD
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State | CA
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Zip | 94534-6714
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Country | US
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Telephone | 707-704-2947
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Fax |
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Provider Business Mailing Address
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Address Line | 2275 ARLINGTON DR
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City | SAN LEANDRO
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State | CA
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Zip | 94578-1132
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Country | US
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Telephone | 510-317-1444
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1604
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 44155
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License Number State | CA
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