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General NPI Number Information
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NPI Number | 1043348212
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Entity Type | Individual
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Provider Name | MELANIE M. CAMPBELL M.S.,N.C.C.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1002 BRINDLEY DR
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City | PULASKI
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State | TN
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Zip | 38478-4705
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Country | US
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Telephone | 931-363-5438
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Fax | 931-363-3564
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Provider Business Mailing Address
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Address Line | 227 PARKES AVE
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City | LAWRENCEBURG
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State | TN
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Zip | 38464-3446
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Country | US
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Telephone | 931-766-5901
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Fax | 931-363-3564
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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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