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General NPI Number Information
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NPI Number | 1003625237
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Entity Type | Individual
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Provider Name | SHEILA MOWBRAY
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Gender | Female
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 550 N REO ST STE 150
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City | TAMPA
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State | FL
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Zip | 33609-1031
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Country | US
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Telephone | 813-538-0385
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Fax |
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Provider Business Mailing Address
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Address Line | 31739 CABANA RYE AVE
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City | SAN ANTONIO
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State | FL
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Zip | 33576-7189
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Country | US
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Telephone | 847-275-6615
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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