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General NPI Number Information
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NPI Number | 1487190302
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Entity Type | Organization
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Legal Business Name | PATRICIA MUSSELWHITE-WEAVER, LMHC
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 7021C S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34231-5552
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Country | US
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Telephone | 941-922-6404
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Fax | 941-926-8724
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Provider Business Mailing Address
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Address Line | 7021C S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34231-5552
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Country | US
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Telephone | 941-922-6404
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Fax | 941-926-8724
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Authorized Official
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Title or Position | PROVIDER
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Name | MRS. PATRICIA JO MUSSELWHITE-WEAVER
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Credential | LMHC
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Telephone | 941-922-6404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH1969
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License Number State | FL
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