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General NPI Number Information
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NPI Number | 1831860832
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Entity Type | Individual
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Provider Name | AMY ELIZABETH MELSON LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 56 SHEPARD ST
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City | WALTON
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State | NY
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Zip | 13856-1109
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Country | US
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Telephone | 607-832-5889
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Fax | 607-832-6082
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Provider Business Mailing Address
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Address Line | 7881 COUNTY HIGHWAY 14
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City | DELHI
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State | NY
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Zip | 13753-8739
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Country | US
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Telephone | 917-670-7102
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 102135
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License Number State | NY
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