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General NPI Number Information
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NPI Number | 1386036945
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Entity Type | Organization
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Legal Business Name | AUTISM PSYCHIATRY, INCORPORATED
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Dates
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Enumeration Date | 02/19/2015
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Last Update Date | 02/19/2015
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Provider Practice Location Address
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Address Line | 9700 S DIXIE HWY SUITE 930
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City | MIAMI
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State | FL
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Zip | 33156-2800
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Country | US
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Telephone | 305-409-7763
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Fax | 888-971-4403
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Provider Business Mailing Address
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Address Line | 9700 S DIXIE HWY SUITE 930
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City | MIAMI
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State | FL
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Zip | 33156-2800
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Country | US
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Telephone | 305-409-7763
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Fax | 888-971-4403
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RODNEY ELDEN PARKER-YARNAL
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Credential | M.D.
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Telephone | 305-409-7763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME 121778
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME 121778
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License Number State | FL
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