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General NPI Number Information
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NPI Number | 1174113450
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Entity Type | Individual
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Provider Name | MELISSA KUT LSW
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Gender | Female
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 2001 E MARKET ST
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City | YORK
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State | PA
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Zip | 17402-2841
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Country | US
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Telephone | 717-774-1000
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Fax | 717-668-8353
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Provider Business Mailing Address
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Address Line | 4415 BEAUMONT RD
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City | DOVER
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State | PA
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Zip | 17315-3468
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Country | US
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Telephone | 717-817-0121
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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 | SW137540
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License Number State | PA
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