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General NPI Number Information
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NPI Number | 1588036230
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Entity Type | Individual
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Provider Name | MELODIE KAROL GALYEN M.S., L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 10/21/2015
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 4696 W. OVERLAND RD.
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City | BOISE
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State | ID
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Zip | 83704
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Country | US
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Telephone | 208-515-1660
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Fax |
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Provider Business Mailing Address
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Address Line | 11557 W SAN REMO DR
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City | NAMPA
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State | ID
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Zip | 83686-8307
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Country | US
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Telephone | 208-617-0768
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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 | 5918
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License Number State | ID
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