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General NPI Number Information
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NPI Number | 1235979816
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Entity Type | Individual
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Provider Name | REGINA TOPER
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Gender | Female
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 10 SE CENTRAL PKWY STE 100
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City | STUART
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State | FL
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Zip | 34994-5914
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Country | US
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Telephone | 772-303-1103
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Fax |
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Provider Business Mailing Address
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Address Line | 10140 159TH CT N
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City | JUPITER
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State | FL
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Zip | 33478-9351
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Country | US
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Telephone |
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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 | IMH19242
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License Number State | FL
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