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General NPI Number Information
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NPI Number | 1225953318
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Entity Type | Organization
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Legal Business Name | GHEORG
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 1435 YELLOWHEART WAY
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City | HOLLYWOOD
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State | FL
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Zip | 33019-4859
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Country | US
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Telephone | 516-529-0417
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Fax |
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Provider Business Mailing Address
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Address Line | 8 THE GRN STE B
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City | DOVER
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State | DE
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Zip | 19901-3618
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Country | US
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Telephone | 516-529-0417
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER/CEO
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Name | DANA L. KLEIN
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Credential |
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Telephone | 516-529-0417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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