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General NPI Number Information
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NPI Number | 1043909807
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Entity Type | Organization
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Legal Business Name | COMPLETE PRACTICE SOLUTIONS AND CONSULTING LLC
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Dates
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Enumeration Date | 05/05/2023
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 6540 RIVERS BANK WAY
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City | TALLAHASSEE
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State | FL
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Zip | 32303-8911
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Country | US
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Telephone | 850-591-0364
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Fax |
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Provider Business Mailing Address
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Address Line | 6540 RIVERS BANK WAY
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City | TALLAHASSEE
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State | FL
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Zip | 32303-8911
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Country | US
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Telephone | 850-591-0364
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CARISSA SHEPPARD-STUMPF
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Credential |
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Telephone | 850-591-0364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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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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