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General NPI Number Information
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NPI Number | 1679417828
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Entity Type | Individual
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Provider Name | MELISSA CHRISTINE CARLIN
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Gender | Female
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 9861 BROKEN LAND PKWY STE 100
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City | COLUMBIA
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State | MD
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Zip | 21046-3031
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Country | US
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Telephone | 240-547-9462
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Fax | 443-583-5918
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Provider Business Mailing Address
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Address Line | 109 QUILLEN DR
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City | BERLIN
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State | MD
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Zip | 21811-1432
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Country | US
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Telephone | 240-547-9462
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 07460
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License Number State | MD
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