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General NPI Number Information
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NPI Number | 1043587603
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR FAMILY DEVELOPMENT, CORP.
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | 8370 W FLAGLER ST SUITE 232
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City | MIAMI
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State | FL
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Zip | 33144-2094
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Country | US
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Telephone | 305-551-9669
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 521742
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City | MIAMI
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State | FL
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Zip | 33152-1742
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. JOSE PEDRO REDONDO
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Credential | PH.D.
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Telephone | 305-551-9669
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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 | PY3757
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | PY7540
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY7540
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY8034
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY8034
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PY8084
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY8212
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY8212
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PY8212
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY7540
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License Number State | FL
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Taxonomy #11
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Taxonomy Code | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number | PY7540
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License Number State | FL
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Taxonomy #12
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | PY3757
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License Number State | FL
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Taxonomy #13
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PY8034
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License Number State | FL
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Taxonomy #14
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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 | FL
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Taxonomy #15
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY3757
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License Number State | FL
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