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General NPI Number Information
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NPI Number | 1144723818
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Entity Type | Individual
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Provider Name | STEFANIE ANNE SHERMAN LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/08/2018
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 6930 SUMMER HARBOR LN
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City | RIVERVIEW
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State | FL
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Zip | 33578-8973
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Country | US
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Telephone | 949-233-9676
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Fax |
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Provider Business Mailing Address
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Address Line | 6930 SUMMER HARBOR LN
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City | RIVERVIEW
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State | FL
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Zip | 33578-8973
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Country | US
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Telephone | 949-233-9676
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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 | LCPC-9776
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License Number State | ID
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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 | MH26476
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License Number State | FL
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