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General NPI Number Information
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NPI Number | 1700953270
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Entity Type | Individual
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Provider Name | APRIL MICHELLE JACKSON JAMES PHD
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/17/2019
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Provider Practice Location Address
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Address Line | 5510 N HESPERIDES ST
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City | TAMPA
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State | FL
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Zip | 33614-5414
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Country | US
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Telephone | 813-467-6111
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Fax | 407-467-6111
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Provider Business Mailing Address
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Address Line | 5510 N HESPERIDES ST
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City | TAMPA
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State | FL
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Zip | 33614-5414
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Country | US
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Telephone | 813-467-6111
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Fax | 813-467-6111
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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 | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 2668
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 2668
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 2668
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 2668
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License Number State | NC
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