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General NPI Number Information
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NPI Number | 1306223581
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Entity Type | Individual
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Provider Name | MELODIE YARBER M.A
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Gender | Female
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Dates
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Enumeration Date | 04/27/2015
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Last Update Date | 06/02/2016
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Provider Practice Location Address
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Address Line | 7206 ALAFIA DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-4506
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Country | US
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Telephone | 813-658-8537
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2206
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City | RIVERVIEW
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State | FL
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Zip | 33568-2206
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Country | US
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Telephone | 813-374-6255
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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