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NPI 1295161487

NPI 1295161487 : ASHKIN COUNSELING : BOYNTON BEACH, FL

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General NPI Number Information
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    NPI Number           |    1295161487
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASHKIN COUNSELING 
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Dates
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    Enumeration Date     |    09/19/2013
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    Last Update Date     |    10/21/2013
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Provider Practice Location Address
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    Address Line         |    8850 CICERO DR 
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33472-2436
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    Country              |    US
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    Telephone            |    561-374-0626
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8850 CICERO DR 
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33472-2436
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    Country              |    US
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    Telephone            |    561-374-0626
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     LINDA  WECHTER-ASHKIN 
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    Credential           |    PH.D.
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    Telephone            |    561-374-0626
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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       |    SS957
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    License Number State |    FL
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