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General NPI Number Information
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NPI Number | 1184091936
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Entity Type | Individual
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Provider Name | MELISSA VAUGHNS-GUEIN LCSW, LSCSW
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Gender | Female
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 721 MAIN ST STE 101
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City | GRANDVIEW
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State | MO
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Zip | 64030-2370
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Country | US
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Telephone | 816-588-5090
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Fax |
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Provider Business Mailing Address
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Address Line | 14806 PINE VIEW DR
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City | GRANDVIEW
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State | MO
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Zip | 64030-4573
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Country | US
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Telephone | 816-588-5090
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2017042411
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2015011741
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License Number State | MO
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