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General NPI Number Information
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NPI Number | 1568848885
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Entity Type | Individual
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Provider Name | MORDECHAI TZVI SALFER PHD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 2636 NE 205TH ST
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City | MIAMI
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State | FL
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Zip | 33180-1115
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Country | US
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Telephone | 305-705-2211
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Fax | 305-470-7490
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Provider Business Mailing Address
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Address Line | 2220 NE 203RD TER
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City | MIAMI
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State | FL
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Zip | 33180-1310
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Country | US
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Telephone | 216-233-0064
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Fax | 305-470-7490
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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 | PY 9348
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License Number State | FL
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