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General NPI Number Information
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NPI Number | 1386775617
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Entity Type | Individual
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Provider Name | ROBERT J. CIPRIANO JR. PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 10/21/2019
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Provider Practice Location Address
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Address Line | 10031 PINES BOULEVARD (SUITE 240)
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6180
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Country | US
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Telephone | 305-528-7309
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Fax |
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Provider Business Mailing Address
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Address Line | 10031 PINES BLVD STE 240
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6180
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Country | US
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Telephone | 305-528-7309
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY6632
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6632
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License Number State | FL
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