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General NPI Number Information
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NPI Number | 1699403105
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Entity Type | Individual
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Provider Name | MELANIE DURHAM DAVIS LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 33 W FRANKLIN ST STE 2
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City | HAGERSTOWN
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State | MD
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Zip | 21740-4826
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Country | US
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Telephone | 240-457-9505
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Fax |
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Provider Business Mailing Address
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Address Line | 154 RIVER CREST LN
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City | HELENA
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State | AL
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Zip | 35080-8037
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Country | US
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Telephone | 205-365-0940
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 30724
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License Number State | MD
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