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General NPI Number Information
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NPI Number | 1225064637
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Entity Type | Organization
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Legal Business Name | DANIELLE MELLIN ARDITY, PH.D., PLLC
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 940 E CYPRESS CREEK RD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33334-4110
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Country | US
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Telephone | 954-296-5108
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Fax | 954-796-3295
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Provider Business Mailing Address
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Address Line | 7852 NW 62ND TER
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City | PARKLAND
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State | FL
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Zip | 33067-3349
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Country | US
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Telephone | 954-296-5108
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Fax | 954-796-3295
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Authorized Official
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Title or Position | MANAGER
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Name | DR. DANIELLE ARDITY
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Credential | PH.D.
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Telephone | 954-296-5108
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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 | PY5853
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License Number State | FL
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