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General NPI Number Information
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NPI Number | 1831957398
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Entity Type | Individual
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Provider Name | MELVA DIXON
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Gender | Female
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 9560 MARLBORO PIKE STE 204
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-3769
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Country | US
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Telephone | 301-583-6535
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Fax |
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Provider Business Mailing Address
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Address Line | 173 SAINT PATRICKS DR 104 (PMB) 3250
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City | WALDORF
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State | MD
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Zip | 20603-5529
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Country | US
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Telephone | 301-583-6535
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | 420748
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License Number State | MD
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