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General NPI Number Information
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NPI Number | 1326165655
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Entity Type | Organization
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Legal Business Name | ALAN A JAFFE PHD & ASSOCIATES PA
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 3080 NW 99TH AVE SUITE 202
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4038
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Country | US
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Telephone | 954-755-0909
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Fax | 954-755-5692
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Provider Business Mailing Address
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Address Line | 3080 NW 99TH AVE SUITE 202
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4038
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Country | US
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Telephone | 954-755-0909
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Fax | 954-755-5692
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. ALAN A. JAFFE
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Credential | PH.D.
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Telephone | 954-755-0909
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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 | PY3317
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY3317
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License Number State | FL
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