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General NPI Number Information
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NPI Number | 1245485481
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Entity Type | Individual
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Provider Name | ROMA LINA PALCAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 13000 PARK BLVD
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City | SEMINOLE
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State | FL
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Zip | 33776-3639
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Country | US
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Telephone | 727-397-4313
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Fax |
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Provider Business Mailing Address
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Address Line | 13000 PARK BLVD.
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City | SEMINOLE
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State | FL
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Zip | 33776
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Country | US
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Telephone | 727-397-4313
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY0005464
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License Number State | FL
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