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General NPI Number Information
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NPI Number | 1457310047
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Entity Type | Individual
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Provider Name | DOROTHY SASMOR PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 9485 SUNSET DR SUITE A202
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City | MIAMI
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State | FL
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Zip | 33173-3242
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Country | US
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Telephone | 305-595-1909
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Fax | 305-271-2088
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Provider Business Mailing Address
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Address Line | 17039 NW 20TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2028
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Country | US
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Telephone | 954-432-0716
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY3368
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License Number State | FL
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