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General NPI Number Information
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NPI Number | 1518341999
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Entity Type | Organization
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Legal Business Name | MELISSA DZEN, LMHC, LLC
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 80 WASHINGTON ST STE C17
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City | NORWELL
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State | MA
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Zip | 02061-1729
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Country | US
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Telephone | 781-871-8777
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Fax | 781-261-9633
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Provider Business Mailing Address
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Address Line | 136 OLD PELHAM ST
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City | PEMBROKE
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State | MA
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Zip | 02359-3706
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Country | US
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Telephone | 781-243-9880
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | MRS. MELISSA DZEN
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Credential | LMHC
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Telephone | 781-871-8777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 8318
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License Number State | MA
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