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General NPI Number Information
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NPI Number | 1275751125
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Entity Type | Individual
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Provider Name | SUSAN ROSE CHALFIN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1695 NW 9TH AVENUE ROOM 1517A
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City | MIAMI
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State | FL
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Zip | 33136
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Country | US
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Telephone | 305-355-7110
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Fax | 305-355-7271
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Provider Business Mailing Address
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Address Line | 12800 SW 70TH AVENUE
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City | PINECREST
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State | FL
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Zip | 33156
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Country | US
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Telephone | 305-253-8546
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PY4464
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License Number State | FL
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