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General NPI Number Information
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NPI Number | 1467996256
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Entity Type | Organization
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Legal Business Name | SHELLY ORLOWSKY, PSY.D., P.A.
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 4770 BISCAYNE BLVD STE 780
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City | MIAMI
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State | FL
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Zip | 33137-3232
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Country | US
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Telephone | 786-704-8544
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Fax |
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Provider Business Mailing Address
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Address Line | 415 FAIRWAY DR
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City | MIAMI BEACH
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State | FL
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Zip | 33141-2418
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Country | US
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Telephone | 786-704-8544
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. SHELLY ORLOWSKY
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Credential |
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Telephone | 786-704-8544
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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 | PY7286
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License Number State | FL
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