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General NPI Number Information
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NPI Number | 1447765631
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Entity Type | Individual
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Provider Name | CRISTINA ANDERSON PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/10/2017
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Last Update Date | 03/07/2019
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Provider Practice Location Address
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Address Line | 3081 SALZEDO ST STE 202
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City | CORAL GABLES
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State | FL
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Zip | 33134-6725
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Country | US
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Telephone | 305-926-8406
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 BIRD AVE APT 4
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City | MIAMI
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State | FL
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Zip | 33133-4560
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Country | US
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Telephone |
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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