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General NPI Number Information
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NPI Number | 1275221061
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Entity Type | Individual
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Provider Name | MELINDA ANN HALL LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 13180 N CLEVELAND AVE STE 339
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-6232
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Country | US
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Telephone | 239-402-4010
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Fax |
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Provider Business Mailing Address
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Address Line | 821 SW 2ND AVE
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City | CAPE CORAL
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State | FL
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Zip | 33991-2502
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Country | US
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Telephone | 954-224-8368
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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 | MH7525
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License Number State | FL
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