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General NPI Number Information
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NPI Number | 1033694492
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Entity Type | Individual
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Provider Name | ANGEL MELTON M.S. ,LPC
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Gender | Female
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Dates
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Enumeration Date | 10/01/2018
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Last Update Date | 10/01/2018
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Provider Practice Location Address
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Address Line | 105 SEARCY ST
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City | ENTERPRISE
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State | AL
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Zip | 36330
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Country | US
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Telephone | 334-477-4531
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Fax |
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Provider Business Mailing Address
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Address Line | 104 SKYLARK DR
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City | ENTERPRISE
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State | AL
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Zip | 36330
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Country | US
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Telephone | 334-477-4531
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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 | 3816
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License Number State | AL
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