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General NPI Number Information
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NPI Number | 1710170667
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Entity Type | Individual
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Provider Name | MELISSA N MCDOWELL LPC
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Gender | Female
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 1507 HARDY ST SUITE 104
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City | HATTIESBURG
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State | MS
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Zip | 39401-4978
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Country | US
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Telephone | 601-814-0353
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Fax | 601-510-9163
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Provider Business Mailing Address
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Address Line | 1030 SHILOH FIRETOWER RD
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City | FOXWORTH
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State | MS
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Zip | 39483-4871
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Country | US
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Telephone | 601-814-0353
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Fax | 601-510-9163
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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 | 844
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License Number State | MS
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