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General NPI Number Information
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NPI Number | 1598061319
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Entity Type | Individual
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Provider Name | MS. TAMARA N SORRYE
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Gender | Female
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Dates
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Enumeration Date | 01/27/2011
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 2255 DUNN AVE STE 206
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City | JACKSONVILLE
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State | FL
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Zip | 32218-4739
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Country | US
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Telephone | 904-219-5560
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Fax | 866-270-8565
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Provider Business Mailing Address
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Address Line | 3736 VERDE GARDENS CIR
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City | JACKSONVILLE
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State | FL
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Zip | 32218-2981
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Country | US
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Telephone | 904-219-5560
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Fax | 866-270-8565
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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 |
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License Number State |
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