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General NPI Number Information
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NPI Number | 1356551501
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Entity Type | Individual
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Provider Name | ANIKA C. FIELDS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 06/01/2009
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Provider Practice Location Address
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Address Line | 2003 APALACHEE PKWY
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City | TALLAHASSEE
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State | FL
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Zip | 32301-4878
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Country | US
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Telephone | 850-510-4277
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Fax | 850-562-6240
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Provider Business Mailing Address
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Address Line | 3601 WESTMORELAND DR
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City | TALLAHASSEE
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State | FL
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Zip | 32303-2027
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Country | US
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Telephone | 850-510-4277
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Fax | 850-562-6240
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY 5119
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License Number State | FL
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