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General NPI Number Information
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NPI Number | 1114706470
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Entity Type | Individual
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Provider Name | MELISSA TATAR-PICKERSGILL M.S., LPC, NCC, BSP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 25 E BRIDGE ST
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City | MORRISVILLE
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State | PA
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Zip | 19067-7129
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Country | US
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Telephone | 267-797-5029
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Fax |
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Provider Business Mailing Address
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Address Line | 115 LIBERTY ST
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City | NEWTOWN
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State | PA
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Zip | 18940-2024
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Country | US
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Telephone | 267-577-1155
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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 | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | PC015535
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License Number State | PA
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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 | PC015535
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License Number State | PA
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