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General NPI Number Information
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NPI Number | 1427710664
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Entity Type | Individual
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Provider Name | ERICA LORRAINE LIDDIL LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 28465 US HIGHWAY 19 N STE 200
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City | CLEARWATER
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State | FL
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Zip | 33761-2511
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Country | US
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Telephone | 727-266-0784
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Fax |
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Provider Business Mailing Address
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Address Line | 528 WALKER RD
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-4950
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Country | US
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Telephone | 315-869-1834
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT5219
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License Number State | FL
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