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General NPI Number Information
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NPI Number | 1366454308
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Entity Type | Organization
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Legal Business Name | AET OF CENTRAL FLORIDA OF SCHAEFFER & HENDERSON, P.A.
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 1515 E SILVER SPRINGS BLVD SUITE 112
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City | OCALA
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State | FL
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Zip | 34470-6831
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Country | US
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Telephone | 352-732-3333
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Fax | 352-732-2469
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Provider Business Mailing Address
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Address Line | PO BOX 2854
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City | OCALA
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State | FL
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Zip | 34478-2854
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Country | US
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Telephone | 352-732-3333
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Fax | 352-732-2469
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. DANIEL HENDERSON
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Credential | PH.D.
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Telephone | 352-732-3333
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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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