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General NPI Number Information
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NPI Number | 1780572362
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Entity Type | Individual
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Provider Name | MELANIE SARA GNAIZDA-GILSON
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 12555 ORANGE DRIVE SUITE 217
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City | CORAL SPRINGS
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State | FL
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Zip | 33071
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Country | US
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Telephone | 954-547-9092
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Fax |
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Provider Business Mailing Address
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Address Line | 10481 NW 9TH PL
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-5633
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Country | US
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Telephone | 954-547-9092
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH7334
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License Number State | FL
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