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General NPI Number Information
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NPI Number | 1871830638
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Entity Type | Individual
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Provider Name | MELANIE L LIBEBE LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 01/13/2013
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Last Update Date | 01/10/2014
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Provider Practice Location Address
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Address Line | 8288 TELEGRAPH RD SUITE A
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City | ODENTON
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State | MD
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Zip | 21113-1130
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Country | US
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Telephone | 301-875-4387
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Fax |
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Provider Business Mailing Address
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Address Line | 7615 WOODBINE DR
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City | LAUREL
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State | MD
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Zip | 20707-5392
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Country | US
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Telephone | 301-875-4387
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Fax | 240-547-6942
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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 | 17795
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License Number State | MD
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