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General NPI Number Information
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NPI Number | 1053814319
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Entity Type | Individual
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Provider Name | JULIE MARIE MELEKIAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 03/13/2018
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Provider Practice Location Address
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Address Line | 4510 EXECUTIVE DR STE 315
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City | SAN DIEGO
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State | CA
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Zip | 92121-3029
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Country | US
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Telephone | 858-534-8053
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Fax |
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Provider Business Mailing Address
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Address Line | 1828 COTTAGE GROVE DR
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City | ENCINITAS
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State | CA
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Zip | 92024-3011
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 97012
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License Number State | CA
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