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General NPI Number Information
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NPI Number | 1487998951
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Entity Type | Organization
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Legal Business Name | MYRNA F. ZIEGLER, PSY.D.,P.A.
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Dates
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Enumeration Date | 11/21/2012
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Last Update Date | 11/21/2012
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Provider Practice Location Address
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Address Line | 4948 N 33RD CT
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City | HOLLYWOOD
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State | FL
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Zip | 33021-2363
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Country | US
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Telephone | 954-322-7006
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Fax | 954-322-4515
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Provider Business Mailing Address
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Address Line | 3389 SHERIDAN ST #134
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3606
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Country | US
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Telephone | 954-322-7006
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Fax | 954-322-4515
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MYRNA F ZIEGLER
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Credential | PSY.D.
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Telephone | 954-322-7006
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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 | PY0004037
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License Number State | FL
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