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NPI 1174656136

NPI 1174656136 : FLORENCE W KASLOW PHD,, ABPP : PALM BEACH GARDENS, FL

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General NPI Number Information
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    NPI Number           |    1174656136
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    Entity Type          |    Individual 
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    Provider Name        |    FLORENCE W KASLOW PHD,, ABPP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/13/2007
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    Last Update Date     |    12/17/2012
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Provider Practice Location Address
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    Address Line         |    128 WINDWARD DR 
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    City                 |    PALM BEACH GARDENS
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    State                |    FL
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    Zip                  |    33418
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    Country              |    US
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    Telephone            |    561-625-0288
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    Fax                  |    561-625-0320
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Provider Business Mailing Address
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    Address Line         |    128 WINDWARD DR 
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    City                 |    PALM BEACH GARDENS
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    State                |    FL
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    Zip                  |    33418
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    Country              |    US
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    Telephone            |    561-625-0288
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    Fax                  |    561-625-0320
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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       |    PY0002963
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    License Number State |    FL
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