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General NPI Number Information
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NPI Number | 1013560382
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Entity Type | Individual
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Provider Name | ERIC STEWMAN JR. LMHC
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Gender | Male
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 3415 PAVILION PALMS CIR APT 204
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City | RIVERVIEW
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State | FL
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Zip | 33578-9011
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Country | US
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Telephone | 352-871-1750
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Fax |
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Provider Business Mailing Address
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Address Line | 1527 MYRTLE DR
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City | TALLAHASSEE
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State | FL
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Zip | 32301-4735
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Country | US
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Telephone | 352-871-1750
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH16892
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH16892
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH16892
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License Number State | FL
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