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General NPI Number Information
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NPI Number | 1750891057
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Entity Type | Individual
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Provider Name | MELISSA A CHAMBERS LPC
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Gender | Female
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 1800 FREEDOM RD
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City | LITTLE CHUTE
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State | WI
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Zip | 54140-3200
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Country | US
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Telephone | 920-619-0074
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Fax |
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Provider Business Mailing Address
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Address Line | 2575 BEAUMONT ST
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City | GREEN BAY
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State | WI
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Zip | 54301-2963
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Country | US
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Telephone | 920-619-0074
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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 | 7578
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 3667
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License Number State | WI
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