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General NPI Number Information
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NPI Number | 1275628786
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Entity Type | Individual
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Provider Name | MELISSA KAYE EARLS LPC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 3335 CARTWRIGHT RD STE 250
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City | MISSOURI CITY
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State | TX
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Zip | 77459-2551
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Country | US
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Telephone | 281-788-7975
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Fax | 281-407-6217
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Provider Business Mailing Address
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Address Line | PO BOX 376
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City | FRESNO
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State | TX
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Zip | 77545-0376
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Country | US
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Telephone | 281-788-7975
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Fax | 281-710-4092
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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 | 19312
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License Number State | TX
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