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General NPI Number Information
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NPI Number | 1215430491
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Entity Type | Organization
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Legal Business Name | CHRISTINA ELKIND, PA
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 2421 HOLLYWOOD BLVD STE 1A
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City | HOLLYWOOD
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State | FL
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Zip | 33020-6605
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Country | US
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Telephone | 347-834-3298
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Fax | 954-923-9190
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Provider Business Mailing Address
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Address Line | 2421 HOLLYWOOD BLVD STE 1A
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City | HOLLYWOOD
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State | FL
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Zip | 33020-6605
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Country | US
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Telephone | 347-834-3298
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Fax | 954-923-9190
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | CHRISTINA ELKIND
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Credential | PSY D
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Telephone | 347-834-3298
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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 | PY9958
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License Number State | FL
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