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General NPI Number Information
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NPI Number | 1023467263
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Entity Type | Organization
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Legal Business Name | SRAZ CONSULTANCY LLC
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 06/08/2016
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Provider Practice Location Address
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Address Line | 370 CAMINO GARDENS BLVD SUITE 101
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City | BOCA RATON
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State | FL
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Zip | 33432
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Country | US
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Telephone | 561-465-2552
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Fax |
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Provider Business Mailing Address
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Address Line | 10800 AVENIDA DEL RIO
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City | DELRAY BEACH
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State | FL
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Zip | 33446
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Country | US
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Telephone | 561-703-4468
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHERRIE RAZ
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Credential | PSY.D.
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Telephone | 561-703-4468
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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 3078
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License Number State | FL
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