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General NPI Number Information
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NPI Number | 1003167396
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Entity Type | Individual
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Provider Name | APRIL SHINORA RIDDICK LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 660 S MOUNT JULIET RD STE 130
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City | MT JULIET
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State | TN
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Zip | 37122-6496
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Country | US
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Telephone | 615-880-8427
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Fax |
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Provider Business Mailing Address
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Address Line | 819 FATHERLAND ST
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City | NASHVILLE
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State | TN
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Zip | 37206-3706
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Country | US
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Telephone | 919-307-7547
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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 | 9575
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License Number State | TN
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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 | 115251
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License Number State | AK
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