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General NPI Number Information
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NPI Number | 1588716799
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Entity Type | Organization
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Legal Business Name | SHELDON J KAPLAN PHD AND ASSOCIATES
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3601 HENDRICKS AVENUE
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City | JACKSONVILLE
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State | FL
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Zip | 32207
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Country | US
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Telephone | 904-396-2666
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Fax | 904-396-2698
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Provider Business Mailing Address
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Address Line | 3601 HENDRICKS AVENUE
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City | JACKSONVILLE
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State | FL
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Zip | 32207
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Country | US
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Telephone | 904-396-2666
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Fax | 904-396-2698
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST DIRECTOR
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Name | SHELDON JAY KAPLAN
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Credential | PHD
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Telephone | 904-396-2666
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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 |
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License Number State |
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