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General NPI Number Information
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NPI Number | 1699151944
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Entity Type | Individual
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Provider Name | SONIA A ROBERTS LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/09/2015
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Last Update Date | 07/26/2016
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Provider Practice Location Address
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Address Line | 900 CESERY BLVD SUITE 111
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5667
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Country | US
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Telephone | 904-962-2826
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Fax | 904-309-9935
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Provider Business Mailing Address
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Address Line | 1995 WAGES WAY
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City | JACKSONVILLE
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State | FL
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Zip | 32218-8057
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Country | US
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Telephone | 904-962-2826
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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 | MH13275
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License Number State | FL
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