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General NPI Number Information
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NPI Number | 1578919007
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Entity Type | Individual
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Provider Name | CAPRI CRUZ PHD. LPC
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Gender | Female
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 1910 NAVARRE SCHOOL RD UNIT 5805
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City | NAVARRE
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State | FL
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Zip | 32566-6462
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Country | US
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Telephone | 706-829-5448
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 NAVARRE SCHOOL RD UNIT 5805
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City | NAVARRE
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State | FL
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Zip | 32566-6462
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Country | US
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Telephone | 706-829-5448
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH17905
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 008771
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License Number State | GA
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