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General NPI Number Information
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NPI Number | 1366886574
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Entity Type | Individual
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Provider Name | TAINA THORPE LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 5118 N 56TH ST STE 128
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City | TAMPA
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State | FL
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Zip | 33610-5440
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Country | US
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Telephone | 813-591-4868
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Fax | 813-279-2551
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Provider Business Mailing Address
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Address Line | 11705 BOYETTE RD # 248
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City | RIVERVIEW
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State | FL
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Zip | 33569-5533
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Country | US
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Telephone | 813-591-4868
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Fax | 813-279-2551
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW15222
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License Number State | FL
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