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General NPI Number Information
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NPI Number | 1619375805
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Entity Type | Organization
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Legal Business Name | HEALTH PSYCH SOLUTIONS OF FLORIDA INC
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Dates
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Enumeration Date | 12/20/2014
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Last Update Date | 12/20/2014
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Provider Practice Location Address
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Address Line | 13575 58TH ST N STE 105
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City | CLEARWATER
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State | FL
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Zip | 33760-3755
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Country | US
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Telephone | 727-421-5329
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Fax | 727-942-7966
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Provider Business Mailing Address
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Address Line | 1605 RIDGE TOP DR
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City | TARPON SPRINGS
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State | FL
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Zip | 34688-8109
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Country | US
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Telephone | 727-421-5329
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Fax | 727-942-7966
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONNA LYNN DONATI-WADDELL
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Credential | PSY.D.
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Telephone | 727-421-5329
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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 | PY6244
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License Number State | FL
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