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General NPI Number Information
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NPI Number | 1831984442
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Entity Type | Individual
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Provider Name | ADRIANNA SOPHIA MELGAR LCDP, CADC
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Gender | Female
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 45 ROYAL LITTLE DR
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City | PROVIDENCE
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State | RI
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Zip | 02904-1882
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Country | US
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Telephone | 401-445-3366
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Fax |
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Provider Business Mailing Address
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Address Line | 100 ELENA ST APT 611
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City | CRANSTON
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State | RI
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Zip | 02920-4388
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Country | US
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Telephone | 401-744-0865
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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 | CDP01038
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License Number State | RI
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