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General NPI Number Information
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NPI Number | 1649427709
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Entity Type | Individual
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Provider Name | MELISSA S BURR-BARTOLO LISW-S
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Gender | Female
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 107 PLAZA DRIVE
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City | ST. CLAIRSVILLE
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State | OH
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Zip | 43950
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Country | US
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Telephone | 740-526-0204
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Fax | 740-526-0207
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Provider Business Mailing Address
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Address Line | 107 PLAZA DRIVE
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City | ST. CLAIRSVILLE
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State | OH
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Zip | 43950
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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 | 1000066
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License Number State | OH
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