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General NPI Number Information
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NPI Number | 1578923058
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR FAMILY PSYCHOLOGY AND MEDIATION
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 02/26/2016
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Provider Practice Location Address
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Address Line | 9858 CLINT MOORE RD C111-274
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City | BOCA RATON
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State | FL
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Zip | 33496-1034
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Country | US
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Telephone | 561-482-1144
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Fax |
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Provider Business Mailing Address
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Address Line | 430 26TH ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-5414
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Country | US
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Telephone | 561-701-3159
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEEANN LEHMAN
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Credential | PHD
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Telephone | 561-701-3159
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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 | SS1142
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License Number State | FL
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