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General NPI Number Information
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NPI Number | 1164221792
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Entity Type | Individual
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Provider Name | MELISSA LEAH BLOK LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 2280 WESTERN AVE
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City | GUILDERLAND
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State | NY
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Zip | 12084-9210
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Country | US
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Telephone | 518-456-5056
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Fax |
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Provider Business Mailing Address
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Address Line | 1406 RIVER VIEW DR
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City | GREEN ISLAND
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State | NY
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Zip | 12183-1134
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Country | US
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Telephone | 718-314-0151
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 122802
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License Number State | NY
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