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General NPI Number Information
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NPI Number | 1124669965
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Entity Type | Individual
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Provider Name | CASSONDRA L FELDMAN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 1019 KANE CONCOURSE
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City | BAY HARBOR ISLANDS
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State | FL
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Zip | 33154-2137
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Country | US
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Telephone | 395-409-2716
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Fax |
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Provider Business Mailing Address
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Address Line | 1019 KANE CONCOURSE STE 203
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City | BAY HARBOR ISLANDS
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State | FL
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Zip | 33154-2138
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Country | US
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Telephone | 305-853-9857
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY10552
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License Number State | FL
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