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General NPI Number Information
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NPI Number | 1063733533
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Entity Type | Individual
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Provider Name | STEVEN ERIC HANDWERKER PHD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 06/18/2010
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Provider Practice Location Address
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Address Line | 2385 N.W. CORPORATE BLVD SUITE 100
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City | BOCA RATON
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State | FL
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Zip | 33431-8510
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Country | US
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Telephone | 561-447-6700
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Fax | 561-417-2494
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Provider Business Mailing Address
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Address Line | POB 880229
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City | BOCA RATON
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State | FL
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Zip | 33488-0229
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Country | US
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Telephone | 561-447-6700
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Fax |
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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 | PY5388
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 7980-1
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License Number State | NY
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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 | 400
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License Number State | SD
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