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General NPI Number Information
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NPI Number | 1225774185
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Entity Type | Organization
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Legal Business Name | AMICA CLINICAL CONSULTING PLLC
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 725 N HIGHWAY A1A STE A104
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City | JUPITER
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State | FL
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Zip | 33477-4561
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Country | US
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Telephone | 305-417-7808
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Fax |
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Provider Business Mailing Address
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Address Line | 7520 NW 5TH ST STE 200F
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City | PLANTATION
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State | FL
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Zip | 33317-1613
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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 | PLLC MEMBER / PSYCHOLOGIST
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Name | DR. JANETTE RODRIGUEZ
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Credential | PSY.D.
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Telephone | 305-417-7808
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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 |
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License Number State |
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