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General NPI Number Information
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NPI Number | 1518198845
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Entity Type | Organization
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Legal Business Name | NAPLES PSYCHOLOGICAL LLC
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 2180 IMMOKALEE RD SUITE216
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City | NAPLES
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State | FL
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Zip | 34110-1421
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Country | US
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Telephone | 239-591-1809
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Fax | 239-596-8901
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Provider Business Mailing Address
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Address Line | 2180 IMMOKALEE RD SUITE216
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City | NAPLES
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State | FL
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Zip | 34110-1421
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Country | US
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Telephone | 239-591-1809
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Fax | 239-596-8901
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID MICHAEL SMITH
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Credential | PSY.D.
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Telephone | 239-592-1809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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