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General NPI Number Information
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NPI Number | 1558943530
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Entity Type | Individual
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Provider Name | MELANIE BOCCIO
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Gender | Female
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Dates
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Enumeration Date | 04/28/2021
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 397 BRIDGE ST # F17
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City | BROOKLYN
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State | NY
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Zip | 11201-5292
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Country | US
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Telephone | 315-873-2936
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Fax |
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Provider Business Mailing Address
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Address Line | 9 GATEWAY LN
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City | MANORVILLE
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State | NY
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Zip | 11949-2528
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Country | US
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Telephone | 631-603-6722
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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 | 013032
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License Number State | NY
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