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General NPI Number Information
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NPI Number | 1265725279
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Entity Type | Individual
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Provider Name | MELONIE LILA SALEH LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 800 SCENIC DR BLDG 4
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City | MODESTO
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State | CA
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Zip | 95350-6131
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Country | US
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Telephone | 888-376-6246
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Fax | --
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Provider Business Mailing Address
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Address Line | 931 10TH ST # 497
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City | MODESTO
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State | CA
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Zip | 95354-2305
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Country | US
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Telephone | 209-735-8367
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Fax | 209-497-4864
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT98835
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License Number State | CA
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