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General NPI Number Information
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NPI Number | 1235421058
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Entity Type | Organization
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Legal Business Name | NEUROPSYCHOLOGICAL ASSOCIATES OF CENTRAL FLORIDA, INC.
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 05/25/2011
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Provider Practice Location Address
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Address Line | 1177 LOUISIANA AVE SUITE 102
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City | WINTER PARK
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State | FL
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Zip | 32789-2352
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Country | US
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Telephone | 407-740-0134
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Fax | 407-740-8857
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Provider Business Mailing Address
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Address Line | 1177 LOUISIANA AVE SUITE 102
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City | WINTER PARK
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State | FL
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Zip | 32789-2352
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Country | US
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Telephone | 407-740-0134
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Fax | 407-740-8857
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Authorized Official
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Title or Position | OFFICER
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Name | DR. ANTHONY MICHAEL FALCONE
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Credential | PH.D.
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Telephone | 407-740-0134
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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 | PY0002181
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License Number State | FL
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