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General NPI Number Information
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NPI Number | 1902612849
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Entity Type | Organization
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Legal Business Name | MELODY CHOW THERAPY LLC
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 6635 N BALTIMORE AVE STE 279
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City | PORTLAND
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State | OR
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Zip | 97203-5462
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Country | US
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Telephone | 971-279-8690
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Fax |
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Provider Business Mailing Address
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Address Line | 6635 N BALTIMORE AVE STE 279
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City | PORTLAND
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State | OR
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Zip | 97203-5462
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Country | US
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Telephone | 971-279-8690
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Fax |
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Authorized Official
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Title or Position | OWNER / EMPLOYEE
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Name | MELODY CHOW
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Credential | LCSW, LICSW
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Telephone | 650-238-8953
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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 |
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License Number State |
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