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General NPI Number Information
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NPI Number | 1235623562
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Entity Type | Individual
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Provider Name | MELISSA VALERIE TAYLOR MA, PLPC
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Gender | Female
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | PSYCHOLOGICAL SERVICES OF ST LOUIS, LLC 7110 OAKLAND AVE
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City | ST LOUIS
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State | MO
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Zip | 63117
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Country | US
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Telephone | 314-403-2031
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Fax |
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Provider Business Mailing Address
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Address Line | 4249 CHOUTEAU AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1753
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Country | US
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Telephone | 314-403-2031
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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 | 101YP2500X
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Taxonomy Name | Professional 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 | 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 #3
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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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