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General NPI Number Information
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NPI Number | 1407144355
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Entity Type | Organization
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Legal Business Name | ASK DR EASY ENTERPRISES INC.
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 10/24/2011
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Provider Practice Location Address
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Address Line | 10317 NE 2ND AVE
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2056
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Country | US
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Telephone | 305-754-6729
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Fax |
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Provider Business Mailing Address
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Address Line | 10317 NE 2ND AVE
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2056
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Country | US
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Telephone | 305-754-6729
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK A DIXON
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Credential | PHD
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Telephone | 305-754-6729
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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 | PY3702
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License Number State | FL
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