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General NPI Number Information
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NPI Number | 1659110757
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Entity Type | Individual
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Provider Name | MELISSA STEEN
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Gender | Female
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 801 N CALIFORNIA ST
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City | SOCORRO
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State | NM
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Zip | 87801-4254
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Country | US
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Telephone | 575-835-8998
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Fax |
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Provider Business Mailing Address
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Address Line | 1414 S UNION AVE APT B2
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City | ROSWELL
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State | NM
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Zip | 88203-2642
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Country | US
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Telephone | 336-269-9780
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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