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General NPI Number Information
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NPI Number | 1942514260
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Entity Type | Individual
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Provider Name | MELANIE SHEA POND LISW-S
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Gender | Female
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 1490 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43205-2140
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Country | US
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Telephone | 614-257-0584
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Fax |
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Provider Business Mailing Address
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Address Line | 8351 N HIGH ST STE 155
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City | COLUMBUS
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State | OH
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Zip | 43235-1409
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Country | US
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Telephone | 937-303-8885
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | S.0900928
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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 | I.1502453
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License Number State | OH
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