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General NPI Number Information
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NPI Number | 1043560618
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Entity Type | Individual
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Provider Name | JILL BRESSLER PHD
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Gender | Female
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Dates
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Enumeration Date | 09/11/2012
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 7721 HOLIDAY DR
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City | SARASOTA
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State | FL
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Zip | 34231-5313
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Country | US
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Telephone | 941-922-1490
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Fax | 815-346-3390
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Provider Business Mailing Address
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Address Line | 7721 HOLIDAY DR
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City | SARASOTA
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State | FL
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Zip | 34231-5313
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Country | US
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Telephone | 941-922-1490
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Fax | 815-346-3390
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | SS1137
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS005958L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW10442
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSOO5958L
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License Number State | PA
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