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General NPI Number Information
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NPI Number | 1881299964
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Entity Type | Individual
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Provider Name | MS. MELANIE DELACRUZ FELIPE
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Gender | Female
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 12/04/2020
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Provider Practice Location Address
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Address Line | 5659 DUNCAN DR
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City | LAS VEGAS
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State | NV
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Zip | 89130-2811
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Country | US
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Telephone | 725-780-6350
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Fax |
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Provider Business Mailing Address
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Address Line | 5390 COMSTOCK LODE LN
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City | LAS VEGAS
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State | NV
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Zip | 89118-2031
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Country | US
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Telephone | 702-280-2989
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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 | 02614-I
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License Number State | NV
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