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General NPI Number Information
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NPI Number | 1457795825
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Entity Type | Individual
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Provider Name | MS. FELICIA ALPHONSE
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Gender | Female
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Dates
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Enumeration Date | 04/29/2013
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 2510 1ST AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33712-1106
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Country | US
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Telephone | 727-289-1164
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Fax |
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Provider Business Mailing Address
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Address Line | 17846 LAKE CARLTON DR APT D
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City | LUTZ
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State | FL
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Zip | 33558-6321
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Country | US
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Telephone | 213-377-8490
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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 | MH24715
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH24715
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH24715
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License Number State | FL
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