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General NPI Number Information
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NPI Number | 1336233352
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Entity Type | Individual
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Provider Name | SARAJO BUNNY FALK PSY.D.PA
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 3410 ROSE HILL WAY
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City | LAUDERHILL
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State | FL
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Zip | 33319-5130
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Country | US
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Telephone | 954-731-0690
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Fax | 954-366-2056
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Provider Business Mailing Address
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Address Line | PO BOX 934068
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City | MARGATE
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State | FL
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Zip | 33093-4068
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Country | US
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Telephone | 954-366-2700
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Fax | 954-366-2056
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY5737
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License Number State | FL
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