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General NPI Number Information
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NPI Number | 1417870171
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Entity Type | Individual
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Provider Name | MELINDA D FIELDS DICKSON LPC
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Gender | Female
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 3522 BOULEVARD STE D
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-1304
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Country | US
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Telephone | 804-613-6068
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 14782
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City | CHESTERFIELD
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State | VA
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Zip | 23832
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Country | US
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Telephone | 804-245-6280
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701016339
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License Number State | VA
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