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General NPI Number Information
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NPI Number | 1346533114
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Entity Type | Individual
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Provider Name | MELINDA KAYE VANDERSCHAAF LPC
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Gender | Female
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 1015 WATERWOOD PKWY #G-L-1
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City | EDMOND
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State | OK
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Zip | 73034
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Country | US
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Telephone | 405-510-4894
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Fax |
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Provider Business Mailing Address
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Address Line | 19508 DANFORTH FARMS BLVD.
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City | EDMOND
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State | OK
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Zip | 73012
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Country | US
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Telephone | 405-510-4894
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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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