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General NPI Number Information
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NPI Number | 1023646148
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Entity Type | Individual
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Provider Name | MELINA DOVE ADAIR MSW, ACSW
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Gender | Female
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 5190 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90805-6510
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Country | US
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Telephone | 562-218-1868
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Fax |
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Provider Business Mailing Address
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Address Line | 119 NIETO AVE APT 2
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City | LONG BEACH
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State | CA
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Zip | 90803-3360
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Country | US
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Telephone | 417-291-5757
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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 | ASW246098
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License Number State | CA
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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 | ASW94630
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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