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General NPI Number Information
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NPI Number | 1730831603
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Entity Type | Organization
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Legal Business Name | SUN AND MOON COUNSELING
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 2907 W BAY TO BAY BLVD
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City | TAMPA
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State | FL
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Zip | 33629-8172
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Country | US
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Telephone | 813-434-3810
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Fax |
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Provider Business Mailing Address
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Address Line | 746 BURLWOOD ST
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City | BRANDON
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State | FL
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Zip | 33511-2802
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | NATALIA GIBSON
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Credential |
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Telephone | 850-865-6590
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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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