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General NPI Number Information
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NPI Number | 1467102889
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Entity Type | Organization
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Legal Business Name | MELISSA WEISEL PHD LCSW PLLC
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 1438 3RD AVE APT 4B
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City | NEW YORK
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State | NY
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Zip | 10028-1962
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Country | US
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Telephone | 201-693-6330
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Fax |
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Provider Business Mailing Address
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Address Line | 1438 3RD AVE APT 4B
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City | NEW YORK
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State | NY
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Zip | 10028-1962
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Country | US
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Telephone | 201-693-6330
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Fax |
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Authorized Official
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Title or Position | CEO LCSW
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Name | MELISSA WEISEL
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Credential | PHD LCSW
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Telephone | 201-693-6330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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