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General NPI Number Information
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NPI Number | 1497466650
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Entity Type | Individual
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Provider Name | LEE ANNE MELNIK
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Gender | Female
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 13191 STARKEY RD STE 14
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City | LARGO
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State | FL
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Zip | 33773-1400
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Country | US
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Telephone | 727-458-6906
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Fax |
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Provider Business Mailing Address
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Address Line | 12953 WHITTINGTON CT
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City | LARGO
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State | FL
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Zip | 33773-1874
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Country | US
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Telephone | 727-458-6906
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LSW0000013395
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License Number State | TN
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