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General NPI Number Information
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NPI Number | 1477769859
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Entity Type | Organization
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Legal Business Name | WASSERMAN AND DRUCKER PA
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 21301 POWERLINE RD SUITE 201
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City | BOCA RATON
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State | FL
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Zip | 33433-2388
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Country | US
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Telephone | 561-451-8408
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Fax | 561-451-8655
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Provider Business Mailing Address
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Address Line | 21301 POWERLINE RD SUITE 201
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City | BOCA RATON
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State | FL
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Zip | 33433-2388
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Country | US
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Telephone | 561-451-8408
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Fax | 561-451-8655
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Authorized Official
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Title or Position | OWNER PSYCHOLOGIST
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Name | DR. THEODORE WASSERMAN
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Credential | PHD
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Telephone | 561-451-8408
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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 | PY - 0003977
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY - 0003977
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License Number State | FL
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