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General NPI Number Information
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NPI Number | 1215364518
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Entity Type | Organization
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Legal Business Name | AMANDA STRUNIN PHD LLC
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 7301 WILES RD SUITE 106
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4105
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Country | US
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Telephone | 305-439-8020
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Fax |
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Provider Business Mailing Address
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Address Line | 9526 NW 8TH CIR
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City | PLANTATION
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State | FL
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Zip | 33324-4935
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. AMANDA STRUNIN
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Credential | PH.D.
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Telephone | 352-514-2555
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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 | PY8834
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License Number State | FL
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