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General NPI Number Information
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NPI Number | 1679266571
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Entity Type | Individual
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Provider Name | MELINDA RITA NAFAL
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Gender | Female
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Dates
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Enumeration Date | 05/29/2023
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Last Update Date | 05/29/2023
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Provider Practice Location Address
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Address Line | 2615 12 MILE RD
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City | BERKLEY
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State | MI
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Zip | 48072-1627
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Country | US
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Telephone | 248-397-4705
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Fax |
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Provider Business Mailing Address
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Address Line | 45542 ELMWOOD CIR
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City | CANTON
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State | MI
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Zip | 48188-2454
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Country | US
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Telephone | 313-952-5251
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6851100726
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License Number State | MI
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