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General NPI Number Information
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NPI Number | 1184204893
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Entity Type | Organization
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Legal Business Name | RIGHTWAY HEALTHCARE OF CALIFORNIA, P.C.
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Dates
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Enumeration Date | 04/08/2021
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 7800 SW 57TH AVE STE 229
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5528
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Country | US
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Telephone | 866-987-5733
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Fax |
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Provider Business Mailing Address
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Address Line | 7800 SW 57TH AVE STE 229
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5528
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Country | US
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Telephone | 866-987-5733
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Fax |
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Authorized Official
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Title or Position | CEO AND CHIEF MEDICAL OFFICER
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Name | THEODORE FELDMAN
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Credential | MD
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Telephone | 305-773-7321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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