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General NPI Number Information
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NPI Number | 1205600731
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Entity Type | Individual
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Provider Name | MRS. MELISSA MARIE CAHALL
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Gender | Female
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 257 CHURCH ST NE
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City | CONCORD
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State | NC
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Zip | 28025-4763
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Country | US
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Telephone | 607-621-1826
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Fax |
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Provider Business Mailing Address
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Address Line | 132 KINGSTON DR
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City | LOCUST
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State | NC
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Zip | 28097-0018
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Country | US
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Telephone | 607-621-1826
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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