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General NPI Number Information
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NPI Number | 1205473113
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Entity Type | Organization
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Legal Business Name | MELISSA ROBERTS, LMFT & ASSOCIATES
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Dates
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Enumeration Date | 12/10/2019
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 30 S VALLEY RD # 304E
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City | PAOLI
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State | PA
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Zip | 19301-1450
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Country | US
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Telephone | 215-470-9377
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Fax |
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Provider Business Mailing Address
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Address Line | 405 CARPENTERS COVE LN
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-4540
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Country | US
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Telephone | 215-470-9377
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELLISSA ROBERTS
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Credential |
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Telephone | 215-470-9377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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