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General NPI Number Information
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NPI Number | 1265822597
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Entity Type | Organization
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Legal Business Name | JMS PSYCHOLOGY INC.
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 01/26/2015
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Provider Practice Location Address
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Address Line | 1200 NW 17TH AVE SUITE 13
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City | DELRAY BEACH
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State | FL
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Zip | 33445-2503
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Country | US
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Telephone | 917-923-1336
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 NW 17TH AVE SUITE 13
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City | DELRAY BEACH
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State | FL
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Zip | 33445-2503
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Country | US
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Telephone | 917-923-1336
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JILL SCHWARTZBERG
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Credential | PSY.D
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Telephone | 917-923-1336
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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 | PY8093
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License Number State | FL
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