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General NPI Number Information
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NPI Number | 1043986763
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Entity Type | Individual
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Provider Name | MELISSA JEAN DAY BSW, CADAC II
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Gender | Female
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Dates
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Enumeration Date | 08/22/2021
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Last Update Date | 08/22/2021
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Provider Practice Location Address
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Address Line | 730 COLLEGE AVE
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City | VINCENNES
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State | IN
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Zip | 47591-3157
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Country | US
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Telephone | 812-558-0574
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Fax |
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Provider Business Mailing Address
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Address Line | 3244 E COUNTY ROAD 225 S
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City | SULLIVAN
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State | IN
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Zip | 47882-7741
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Country | US
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Telephone | 812-564-1627
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C2-5131
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License Number State | IN
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