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General NPI Number Information
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NPI Number | 1427613751
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Entity Type | Individual
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Provider Name | MELISSA RILEY M.ED., PCLC
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Gender | Female
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 305 W MERCURY ST
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City | BUTTE
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State | MT
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Zip | 59701-1672
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Country | US
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Telephone | 406-560-2467
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Fax |
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Provider Business Mailing Address
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Address Line | 305 W MERCURY ST
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City | BUTTE
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State | MT
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Zip | 59701-1672
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Country | US
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Telephone | 406-560-2467
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 83186
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BBH-PCLC-LIC-37026
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License Number State | MT
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