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General NPI Number Information
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NPI Number | 1518263664
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Entity Type | Individual
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Provider Name | MELANIE KRIEG LLP
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Gender | Female
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 5955 W MAIN ST STE 224
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City | KALAMAZOO
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State | MI
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Zip | 49009-9263
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Country | US
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Telephone | 269-366-9811
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Fax |
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Provider Business Mailing Address
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Address Line | 13611 W BROOKWOOD
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City | GOBLES
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State | MI
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Zip | 49055-9651
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Country | US
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Telephone | 269-366-9811
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 6301014438
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401223439
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License Number State | MI
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