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General NPI Number Information
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NPI Number | 1174637268
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Entity Type | Organization
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Legal Business Name | POETTER & POETTER, P.A.
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 11/18/2010
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Provider Practice Location Address
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Address Line | 3002 SE 1ST AVE #200
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City | OCALA
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State | FL
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Zip | 34471-0477
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Country | US
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Telephone | 352-351-5522
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Fax | 352-351-2950
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Provider Business Mailing Address
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Address Line | 3002 SE 1ST AVE #200
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City | OCALA
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State | FL
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Zip | 34471-0477
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Country | US
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Telephone | 352-351-5522
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Fax | 352-351-2950
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VIOLET D POETTER
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Credential | PSY.D.
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Telephone | 352-351-5522
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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 | PY2970
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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 | PY3308
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License Number State | FL
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