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General NPI Number Information
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NPI Number | 1245782283
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Entity Type | Individual
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Provider Name | MELISA G SANTIAGO
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Gender | Female
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 225 W VALLEY PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92025-2613
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Country | US
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Telephone | 858-278-2847
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Fax |
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Provider Business Mailing Address
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Address Line | 840 N ECKHOFF ST
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City | ORANGE
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State | CA
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Zip | 92868-1054
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Country | US
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Telephone | 714-381-6044
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 113330
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License Number State | CA
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