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General NPI Number Information
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NPI Number | 1770362816
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Entity Type | Individual
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Provider Name | MS. ERICA PATEL
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Gender | Female
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 105 N ALEXANDER ST STE 105
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City | PLANT CITY
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State | FL
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Zip | 33563-4831
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Country | US
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Telephone | 813-755-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 8182 JUNING CV
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-2304
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Country | US
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Telephone | 774-314-5605
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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 | IMH24182
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License Number State | FL
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