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General NPI Number Information
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NPI Number | 1376556878
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Entity Type | Individual
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Provider Name | MICHAEL CRISTIANO PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 03/04/2017
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Provider Practice Location Address
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Address Line | 1200 N FEDERAL HWY STE 200
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City | BOCA RATON
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State | FL
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Zip | 33432-2813
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Country | US
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Telephone | 954-899-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 1990 N FEDERAL HWY SUITE C
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1032
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Country | US
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Telephone | 954-788-9399
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Fax | 954-905-4990
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PY6322
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | PY6322
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PY6322
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6322
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY6322
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number | PY6322
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | PY6322
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number | PY6322
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License Number State | FL
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