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General NPI Number Information
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NPI Number | 1396843728
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Entity Type | Individual
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Provider Name | LORRAINE SHOOK BERKOWITZ PSY D
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 225 N E MIZNER BLVD #300
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City | BOCA RATON
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State | FL
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Zip | 33432
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Country | US
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Telephone | 561-620-3248
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Fax | 561-620-9335
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Provider Business Mailing Address
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Address Line | 3809 COVENTRY LANE
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City | BOCA RATON
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State | FL
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Zip | 33496
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Country | US
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Telephone | 561-620-3248
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6167
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License Number State | FL
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