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General NPI Number Information
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NPI Number | 1841520806
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Entity Type | Individual
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Provider Name | MELODEE KAY QUIROZ LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/13/2010
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 1030 NEWSOM SPRINGS RD
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-3618
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Country | US
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Telephone | 805-270-5164
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Fax |
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Provider Business Mailing Address
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Address Line | 117 W TUNNELL ST
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City | SANTA MARIA
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State | CA
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Zip | 93458-4096
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Country | US
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Telephone | 805-739-8670
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 151678
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License Number State | CA
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