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General NPI Number Information
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NPI Number | 1629540265
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Entity Type | Individual
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Provider Name | MELANIE GONSALVES
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Gender | Female
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 4601 W GUADALUPE ST
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City | AUSTIN
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State | TX
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Zip | 78751-3146
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Country | US
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Telephone | 512-424-6500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 141213
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City | AUSTIN
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State | TX
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Zip | 78714-1213
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | CT
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