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General NPI Number Information
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NPI Number | 1255828711
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Entity Type | Individual
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Provider Name | CALVIN THARPE-BELL
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Gender | Male
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 2420 SOUTH HWY 29 PENSACOLA METRO TREATMENT CENTER
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City | CANTONMENT
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State | FL
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Zip | 32533-3253
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Country | US
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Telephone | 850-968-3575
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Fax |
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Provider Business Mailing Address
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Address Line | 1857 ATWOOD DR APT 11A
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City | PENSACOLA
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State | FL
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Zip | 32514-7513
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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