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General NPI Number Information
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NPI Number | 1477333136
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Entity Type | Individual
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Provider Name | LEON ALEXANDER MELNITSKY LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 631 US HIGHWAY 1 STE 100
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-4614
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Country | US
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Telephone | 866-205-1382
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Fax | 833-423-0607
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Provider Business Mailing Address
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Address Line | 10334 LEXINGTON CIR S
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-4553
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Country | US
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Telephone | 305-587-0025
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW17974
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License Number State | FL
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