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General NPI Number Information
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NPI Number | 1013772276
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGY SPECIALISTS OF FLORIDA, LLC
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 3115 NW 10TH TER STE 103
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-5937
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Country | US
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Telephone | 954-903-1665
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Fax | 954-231-8558
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Provider Business Mailing Address
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Address Line | 2617 WARWICK PL
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City | EDMOND
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State | OK
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Zip | 73013-6551
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Country | US
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Telephone | 405-818-1647
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. STEVEN STERNLOF
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Credential | PH.D.
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Telephone | 954-903-1665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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