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General NPI Number Information
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NPI Number | 1437613767
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Entity Type | Individual
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Provider Name | MELANIE LYNN GRAVES
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Gender | Female
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Dates
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Enumeration Date | 01/31/2019
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 3307 WATKINS RD STE 227
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City | DURHAM
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State | NC
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Zip | 27707-3350
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Country | US
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Telephone | 919-797-9075
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Fax |
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Provider Business Mailing Address
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Address Line | 2031 COPPER LEAF PKWY APT 205
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City | DURHAM
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State | NC
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Zip | 27703-7778
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | P021533
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License Number State |
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