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General NPI Number Information
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NPI Number | 1770959249
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Entity Type | Individual
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Provider Name | MELISSA LYNN SHEA LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 39 CHARLOTTE DR
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City | PLYMOUTH
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State | MA
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Zip | 02360-4956
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Country | US
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Telephone | 508-746-1523
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Fax | 508-746-1523
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Provider Business Mailing Address
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Address Line | 39 CHARLOTTE DR
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City | PLYMOUTH
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State | MA
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Zip | 02360-4956
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Country | US
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Telephone | 508-735-2109
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Fax | 508-735-2109
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6068
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License Number State | MA
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