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General NPI Number Information
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NPI Number | 1669942769
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Entity Type | Individual
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Provider Name | ADRIANNA PAYNE SIFFORD LPC-MHSP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2018
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Last Update Date | 11/30/2018
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Provider Practice Location Address
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Address Line | 2800 WESTSIDE DR NW
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City | CLEVELAND
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State | TN
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Zip | 37312-3501
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Country | US
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Telephone | 423-339-4252
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 HICKORY DR NW
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City | CLEVELAND
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State | TN
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Zip | 37311-3626
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Country | US
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Telephone | 870-253-2508
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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 | 4472
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License Number State | TN
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