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General NPI Number Information
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NPI Number | 1881619328
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Entity Type | Individual
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Provider Name | ALEXANDER J CHAPUNOFF L.M.H.C.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1135 PASADENA AVE S SUITE 309
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-2887
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Country | US
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Telephone | 727-674-5053
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Fax |
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Provider Business Mailing Address
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Address Line | 638 3RD AVE S #8
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4109
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Country | US
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Telephone | 727-822-9583
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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 | MH7898
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License Number State | FL
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