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General NPI Number Information
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NPI Number | 1154805638
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Entity Type | Individual
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Provider Name | MELISSA GREENWALD CASE MANAGEMENT
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Gender | Female
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 1918 KENDALL AVE APT E
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3349
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Country | US
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Telephone | 740-771-6387
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Fax |
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Provider Business Mailing Address
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Address Line | 1037 W MARKET ST
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City | LIMA
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State | OH
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Zip | 45805-2729
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Country | US
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Telephone | 740-771-6376
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Fax | 740-383-6559
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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 | 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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