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General NPI Number Information
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NPI Number | 1356731921
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Entity Type | Organization
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Legal Business Name | CARYN WATSKY-SCILEPPI, PH.D., P.A.
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 10928 NW 18TH DR
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City | PLANTATION
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State | FL
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Zip | 33322-3442
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Country | US
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Telephone | 305-776-1767
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Fax | 954-423-0901
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Provider Business Mailing Address
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Address Line | 10928 NW 18TH DR
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City | PLANTATION
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State | FL
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Zip | 33322-3442
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Country | US
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Telephone | 305-776-1767
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Fax | 954-423-0901
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARYN WATSKY-SCILEPPI
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Credential | PH.D.
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Telephone | 305-776-1767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PY8840
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License Number State | FL
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