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General NPI Number Information
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NPI Number | 1174914501
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Entity Type | Individual
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Provider Name | REEVA RAMCHARAN PSY.D
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Gender | Female
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 5738 CANTON CV STE 110
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-5037
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Country | US
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Telephone | 407-233-5667
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Fax | 407-986-4533
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Provider Business Mailing Address
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Address Line | 5738 CANTON CV STE 110
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-5037
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Country | US
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Telephone | 407-233-5667
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Fax | 407-986-4533
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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 | PY9149
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License Number State | FL
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