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General NPI Number Information
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NPI Number | 1568560274
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Entity Type | Individual
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Provider Name | PATRICIA JANSON PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7000 W PALMETTO PARK RD SUITE 407
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City | BOCA RATON
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State | FL
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Zip | 33433-3424
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Country | US
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Telephone | 561-347-0997
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Fax | 561-347-0996
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Provider Business Mailing Address
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Address Line | 12214 ROCKLEDGE CIR
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City | BOCA RATON
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State | FL
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Zip | 33428-4810
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Country | US
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Telephone | 561-488-1290
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Fax | 561-488-1281
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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 | PY6013
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License Number State | FL
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