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General NPI Number Information
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NPI Number | 1285899922
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Entity Type | Individual
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Provider Name | SUSAN MELZER L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 525 RT. 73 SOUTH SUITE 306-B
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City | MARLTON
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State | NJ
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Zip | 08053
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Country | US
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Telephone | 609-617-0200
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Fax | 888-418-6399
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Provider Business Mailing Address
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Address Line | 525 RT 73 SOUTH SUITE 306-B
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City | MARLTON
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State | NJ
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Zip | 08053
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Country | US
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Telephone | 609-617-0200
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Fax | 888-418-6399
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05353100
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License Number State | NJ
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