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General NPI Number Information
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NPI Number | 1528879012
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Entity Type | Organization
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Legal Business Name | SOZO LLC
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 1010 S FEDERAL HWY STE 1400
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-7186
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Country | US
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Telephone | 305-985-6037
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Fax | 305-902-2455
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Provider Business Mailing Address
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Address Line | 1010 S FEDERAL HWY STE 1400
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-7186
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Country | US
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Telephone | 305-985-6037
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. SHARON PEDROSA
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Credential | PSYD
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Telephone | 305-985-6037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #7
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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 |
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