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General NPI Number Information
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NPI Number | 1477097731
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Entity Type | Organization
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Legal Business Name | THE PSYCHOLOGY TEAM OF SOUTH FLORIDA, PA
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 1550 MADRUGA AVE STE 210
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City | CORAL GABLES
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State | FL
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Zip | 33146-3036
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Country | US
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Telephone | 786-606-0302
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 MADRUGA AVE STE 210
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City | CORAL GABLES
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State | FL
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Zip | 33146-3036
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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 | LICENSED PSYCHOLOGIST
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Name | DR. LEANNE SHAPIRO
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Credential |
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Telephone | 786-606-0302
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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 |
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License Number State |
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