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General NPI Number Information
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NPI Number | 1043600646
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Entity Type | Organization
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Legal Business Name | FELICIA ANN TRALONGO, PSY.D., P.A.
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 2855 N UNIVERSITY DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-1405
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Country | US
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Telephone | 954-401-0868
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Fax |
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Provider Business Mailing Address
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Address Line | 2855 N UNIVERSITY DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-1405
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Country | US
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Telephone | 954-401-0868
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FELICIA TRALONGO
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Credential |
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Telephone | 954-401-0868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PY5671
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License Number State | FL
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