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General NPI Number Information
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NPI Number | 1801336987
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Entity Type | Organization
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Legal Business Name | CANDICE SAPIRO HICKS, LMHC PA
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 6735 CONROY RD. 207
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City | ORLANDO
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State | FL
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Zip | 32835-3571
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Country | US
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Telephone | 407-790-9584
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Fax | 407-477-5514
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Provider Business Mailing Address
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Address Line | 6735 CONROY RD. 207
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City | ORLANDO
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State | FL
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Zip | 32835-3571
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Country | US
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Telephone | 407-790-9584
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Fax | 407-477-5514
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Authorized Official
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Title or Position | PSYCHOTHERAPIST PRACTICE OWNER
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Name | CANDICE SAPIRO BARSKY
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Credential |
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Telephone | 407-790-9584
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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 | MH 10618
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License Number State | FL
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