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General NPI Number Information
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NPI Number | 1497924781
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Entity Type | Individual
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Provider Name | SONYA M KHILNANI PH.D
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Gender | Female
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 12/26/2018
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Provider Practice Location Address
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Address Line | 3349 N UNIVERSITY DR SUITE 4
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City | HOLLYWOOD
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State | FL
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Zip | 33024-9000
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Country | US
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Telephone | 954-885-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 19515 SW 78TH PL
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City | CUTLER BAY
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State | FL
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Zip | 33157-7509
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Country | US
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Telephone | 305-969-8280
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6340
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | PY6340
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY6340
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License Number State | FL
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