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General NPI Number Information
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NPI Number | 1396955894
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Entity Type | Organization
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Legal Business Name | A & B PSYCHOLOGY
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 5151 BAYVIEW DR
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City | FT LAUDERDALE
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State | FL
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Zip | 33308
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Country | US
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Telephone | 954-491-6984
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Fax | 954-491-7068
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Provider Business Mailing Address
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Address Line | 5151 BAYVIEW DR
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City | FT LAUDERDALE
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State | FL
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Zip | 33308
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Country | US
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Telephone | 954-491-6984
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Fax | 954-491-7068
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. VICTORIA B AZRIN
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Credential | PHD
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Telephone | 954-491-6984
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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 | PY3271
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY2027
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License Number State | FL
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