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General NPI Number Information
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NPI Number | 1063224178
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Entity Type | Individual
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Provider Name | MELANIE YVETTE SIMMONS MBA, DBA
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Gender | Female
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 5013 LASSITER MILL RD
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City | ASHEBORO
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State | NC
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Zip | 27205-8015
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Country | US
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Telephone | 980-348-8406
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Fax |
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Provider Business Mailing Address
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Address Line | 5013 LASSITER MILL RD
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City | ASHEBORO
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State | NC
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Zip | 27205-8015
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Country | US
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Telephone | 980-348-8406
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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