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General NPI Number Information
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NPI Number | 1386865095
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Entity Type | Individual
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Provider Name | JAIMEE CHRISTINA PEREZ PHD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 8895 N MILITARY TRL STE 300E
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City | WEST PALM BEACH
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State | FL
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Zip | 33410-6263
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Country | US
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Telephone | 561-472-0397
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Fax |
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Provider Business Mailing Address
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Address Line | 2332 WILSEE RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33410-2016
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Country | US
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Telephone | 561-526-5741
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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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 | PY10431
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License Number State | FL
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