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General NPI Number Information
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NPI Number | 1396957486
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Entity Type | Organization
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Legal Business Name | CONSULTING PSYCHOLOGISTS OF SOUTH FLORIDA, INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 10031 PINES BOULEVARD SUITE #214
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City | PEMBROKE PINES
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-854-6815
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Fax | 954-442-4179
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Provider Business Mailing Address
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Address Line | 10031 PINES BLVD STE 225
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6169
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Country | US
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Telephone | 954-854-6815
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Fax | 954-442-4179
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Authorized Official
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Title or Position | PRESIDENT
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Name | BEATRIZ CABRERA
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Credential |
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Telephone | 954-854-6815
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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 | PY6555
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License Number State | FL
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