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General NPI Number Information
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NPI Number | 1518016146
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Entity Type | Individual
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Provider Name | DAVID ROBERT ENGLERT PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 100 SERVAIS WAY, BLDG 90531
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City | HURLBURT FIELD
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State | FL
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Zip | 32544
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Country | US
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Telephone | 850-884-3035
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Fax |
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Provider Business Mailing Address
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Address Line | 100 SERVAIS WAY, BLDG 90531
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City | HURLBURT FIELD
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State | FL
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Zip | 32544
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Country | US
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Telephone | 317-358-3119
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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 | 4987
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 4987
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License Number State | NC
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