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General NPI Number Information
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NPI Number | 1497022875
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Entity Type | Organization
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Legal Business Name | GERALD L TODOROFF, PSYD, PA
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 5465 COMMERCIAL WAY
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City | SPRING HILL
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State | FL
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Zip | 34606-1110
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Country | US
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Telephone | 352-597-5497
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Fax |
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Provider Business Mailing Address
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Address Line | 5465 COMMERCIAL WAY
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City | SPRING HILL
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State | FL
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Zip | 34606-1110
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Country | US
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Telephone | 352-597-5497
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GERALD L TODOROFF
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Credential | PSYD
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Telephone | 352-597-5497
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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 |
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License Number State | FL
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