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General NPI Number Information
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NPI Number | 1265903207
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Entity Type | Individual
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Provider Name | MELISSA ANN SEYMOUR LMCH
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Gender | Female
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 650 WARREN ST
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City | ALBANY
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State | NY
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Zip | 12208-2998
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Country | US
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Telephone | 518-491-6469
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Fax | 518-462-0181
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Provider Business Mailing Address
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Address Line | 3603 KEMP DR
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City | ENDWELL
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State | NY
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Zip | 13760-2409
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Country | US
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Telephone | 607-348-7025
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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 | 009260
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License Number State | NY
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