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General NPI Number Information
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NPI Number | 1891148391
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Entity Type | Organization
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Legal Business Name | MELISSA KLEPPER LMHC
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 1 LINDEN PL 405
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City | GREAT NECK
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State | NY
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Zip | 11021-2641
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Country | US
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Telephone | 631-848-6303
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Fax |
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Provider Business Mailing Address
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Address Line | 24 CENTER DR
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City | SYOSSET
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State | NY
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Zip | 11791-6112
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | MELISSA KLEPPER
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Credential | LMHC
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Telephone | 631-848-6303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 006320
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License Number State | NY
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