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General NPI Number Information
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NPI Number | 1497124788
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Entity Type | Individual
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Provider Name | GIULIA SURO PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 7325 SW 63RD AVE SUITE 101
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4811
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Country | US
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Telephone | 202-904-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 644 13TH ST #3
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City | MIAMI BEACH
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State | FL
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Zip | 33139-4482
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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 |
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Name |
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Credential |
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Telephone |
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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 | PY9361
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License Number State | FL
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