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NPI 1366162265

NPI 1366162265 : DANIEL MAUER, PHD., LLC : POMPANO BEACH, FL

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General NPI Number Information
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    NPI Number           |    1366162265
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    Entity Type          |    Organization 
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    Legal Business Name  |    DANIEL MAUER, PHD., LLC 
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Dates
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    Enumeration Date     |    08/31/2022
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    Last Update Date     |    08/31/2022
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Provider Practice Location Address
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    Address Line         |    3200 NE 10TH ST APT 1 
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    City                 |    POMPANO BEACH
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    State                |    FL
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    Zip                  |    33062-3947
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    Country              |    US
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    Telephone            |    410-746-6530
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3200 NE 10TH ST APT 1 
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    City                 |    POMPANO BEACH
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    State                |    FL
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    Zip                  |    33062-3947
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHD
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    Name                 |     DANIEL  MAUER 
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    Credential           |    
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    Telephone            |    410-746-6530
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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       |    
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    License Number State |    
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