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General NPI Number Information
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NPI Number | 1073400024
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Entity Type | Organization
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Legal Business Name | VICTORIOUS PEOPLE, LLC
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1106 THOMASVILLE RD STE 1114-A
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City | TALLAHASSEE
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State | FL
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Zip | 32303-6278
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Country | US
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Telephone | 850-212-6569
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Fax |
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Provider Business Mailing Address
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Address Line | 103 LIBERTY RD
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City | CRAWFORDVILLE
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State | FL
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Zip | 32327-3261
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Country | US
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Telephone | 850-212-6569
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | NICHOLE JEFFERSON
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Credential |
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Telephone | 850-212-6569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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