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General NPI Number Information
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NPI Number | 1679107676
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Entity Type | Individual
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Provider Name | MARY AMANDA CAPERS LPC-MHSP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 100 TAYLOR ST STE C4
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City | NASHVILLE
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State | TN
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Zip | 37208-1748
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Country | US
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Telephone | 615-601-1733
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Fax |
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Provider Business Mailing Address
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Address Line | 1124 MCCHESNEY AVE
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City | NASHVILLE
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State | TN
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Zip | 37216-2727
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Country | US
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Telephone | 770-313-5055
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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 | 4816
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License Number State | TN
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