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General NPI Number Information
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NPI Number | 1104271865
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Entity Type | Individual
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Provider Name | SAYBRA RICE CHAPMAN LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 14150 6TH ST
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City | DADE CITY
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State | FL
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Zip | 33525-3805
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Country | US
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Telephone | 813-713-2977
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Fax |
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Provider Business Mailing Address
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Address Line | 35113 WHISPERING OAKS BLVD
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City | RIDGE MANOR
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State | FL
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Zip | 33523-9419
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Country | US
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Telephone | 352-583-2252
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH3626
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License Number State | FL
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