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General NPI Number Information
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NPI Number | 1407356199
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Entity Type | Individual
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Provider Name | RICK FERRELL
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Gender | Male
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 02/19/2018
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Provider Practice Location Address
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Address Line | 11929 TWILIGHT DARNER PL
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City | RIVERVIEW
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State | FL
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Zip | 33569-6513
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Country | US
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Telephone | 813-609-0219
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Fax | 888-979-6989
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Provider Business Mailing Address
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Address Line | PO BOX 89356
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City | TAMPA
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State | FL
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Zip | 33689-0405
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Country | US
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Telephone | 813-609-0219
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Fax | 888-979-6989
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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