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General NPI Number Information
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NPI Number | 1821954413
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Entity Type | Individual
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Provider Name | SYDNEY LITTLE
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Gender | Female
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1567 KINGSLEY AVE
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City | ORANGE PARK
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State | FL
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Zip | 32073-4510
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Country | US
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Telephone | 904-602-9740
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Fax |
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Provider Business Mailing Address
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Address Line | 1715 FOGGY DAY DR
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City | MIDDLEBURG
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State | FL
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Zip | 32068-9089
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Country | US
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Telephone | 904-444-1621
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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 | 101200000X
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Taxonomy Name | Drama Therapist
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License Number | L340-784-06-728-0
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License Number State | FL
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