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General NPI Number Information
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NPI Number | 1497978035
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Entity Type | Individual
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Provider Name | MS. MELANIE S. DELMUNDO
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 600 FOX GLN
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City | BARRINGTON
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State | IL
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Zip | 60010-1834
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Country | US
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Telephone | 847-842-7200
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Fax | 847-842-7454
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Provider Business Mailing Address
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Address Line | 440 W. MAHOGANY COURT UNIT 502
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City | PALATINE
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State | IL
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Zip | 60067
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Country | US
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Telephone | 847-312-9143
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180-004300
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License Number State | IL
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