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General NPI Number Information
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NPI Number | 1962285635
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Entity Type | Organization
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Legal Business Name | MELISSA L. PAUL LCSW
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 495 HENRY ST # 145
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City | BROOKLYN
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State | NY
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Zip | 11231-5246
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Country | US
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Telephone | 130-150-2342
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Fax |
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Provider Business Mailing Address
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Address Line | 169 BALTIC ST # 4
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City | BROOKLYN
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State | NY
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Zip | 11201-6173
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Country | US
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Telephone | 301-502-3424
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA PAUL
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Credential | LCSW
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Telephone | 301-502-3424
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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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