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General NPI Number Information
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NPI Number | 1134901234
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Entity Type | Individual
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Provider Name | MELBA CHITANDA
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Gender | Female
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 3901 ARLINGTON HIGHLANDS BLVD STE 200
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City | ARLINGTON
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State | TX
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Zip | 76018-6050
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Country | US
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Telephone | 214-774-4924
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Fax | 661-727-0006
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Provider Business Mailing Address
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Address Line | 3901 ARLINGTON HIGHLANDS BLVD STE 200
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City | ARLINGTON
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State | TX
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Zip | 76018-6050
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Country | US
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Telephone | 214-774-4924
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Fax | 661-727-0006
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 109446
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License Number State | TX
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Taxonomy #2
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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 | TX
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