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General NPI Number Information
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NPI Number | 1962890491
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Entity Type | Individual
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Provider Name | MELISSA DYE LPC
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Gender | Female
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 106 N MAIN ST STE 101
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City | BELTON
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State | TX
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Zip | 76513-3210
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Country | US
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Telephone | 254-449-1925
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Fax |
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Provider Business Mailing Address
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Address Line | 140 SPRING MEADOW LN
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City | BELTON
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State | TX
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Zip | 76513-5558
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Country | US
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Telephone | 254-449-1925
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 70402
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License Number State | TX
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