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General NPI Number Information
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NPI Number | 1265048797
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Entity Type | Individual
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Provider Name | VICTORIA PAYNE CAP, ICADC, SAP
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Gender | Female
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Dates
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Enumeration Date | 09/21/2020
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 7848 PLAYPEN CT
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City | JACKSONVILLE
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State | FL
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Zip | 32210-1420
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Country | US
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Telephone | 904-472-5310
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Fax |
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Provider Business Mailing Address
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Address Line | 7848 PLAYPEN CT
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City | JACKSONVILLE
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State | FL
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Zip | 32210-1420
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Country | US
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Telephone | 904-600-7297
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | SAP174503
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | HS-BCP7389
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MCAP.0101294
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ICADC.0100151
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAP.0100281
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License Number State | FL
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