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General NPI Number Information
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NPI Number | 1669360343
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Entity Type | Organization
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Legal Business Name | MELISSA CALLAHAN PLLC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 11198 MAIN ST STE D2
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City | FAIRFAX
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State | VA
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Zip | 22030-5009
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Country | US
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Telephone | 703-485-3598
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Fax |
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Provider Business Mailing Address
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Address Line | 11198 MAIN ST STE D2
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City | FAIRFAX
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State | VA
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Zip | 22030-5009
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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 | MANAGING DIRECTOR
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Name | MELISSA S CALLAHAN
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Credential |
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Telephone | 703-919-2999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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