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General NPI Number Information
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NPI Number | 1871617118
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Entity Type | Individual
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Provider Name | MELANIE JANE ASSID MSSA, LCSW, ACM-SW
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE BOLWELL SUITE 1200, BHC 5036
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-844-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 719 THOMPSON LN STE 24131
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City | NASHVILLE
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State | TN
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Zip | 37204-4694
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Country | US
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Telephone | 615-343-2374
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.0032107
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6336
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License Number State | TN
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