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General NPI Number Information
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NPI Number | 1043105984
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Entity Type | Individual
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Provider Name | MELISSA S COONEY LSW
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 401 DIVISION ST
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City | HARRISBURG
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State | PA
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Zip | 17110-2058
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Country | US
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Telephone | 717-782-4349
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Fax | 717-782-4349
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Provider Business Mailing Address
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Address Line | 401 DIVISION ST
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City | HARRISBURG
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State | PA
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Zip | 17110-2058
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Country | US
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Telephone | 717-440-4377
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Fax | 717-440-4377
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW142888
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License Number State | PA
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