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General NPI Number Information
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NPI Number | 1184893489
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Entity Type | Organization
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Legal Business Name | THE PARENT RESOURCE, PA
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 08/02/2013
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Provider Practice Location Address
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Address Line | 1000 N. HIATUS ROAD SUITE# 110
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-3094
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Country | US
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Telephone | 954-441-5130
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Fax | 954-441-5129
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Provider Business Mailing Address
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Address Line | 1000 N. HIATUS ROAD SUITE# 110
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-3094
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Country | US
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Telephone | 954-441-5130
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Fax | 954-441-5129
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Authorized Official
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Title or Position | OWNER
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Name | DR. NEIL ALLAN APPLEBAUM
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Credential | PSYD
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Telephone | 954-441-5130
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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 | PY4282
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License Number State | FL
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