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General NPI Number Information
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NPI Number | 1629158811
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Entity Type | Organization
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Legal Business Name | GALIT SHALOM-CRAIG PSY D P A
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 655 CAMELIA LN
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City | VERO BEACH
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State | FL
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Zip | 32963-1841
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Country | US
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Telephone | 772-713-8716
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Fax | 772-257-5653
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Provider Business Mailing Address
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Address Line | 655 CAMELIA LN
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City | VERO BEACH
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State | FL
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Zip | 32963-1841
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Country | US
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Telephone | 772-713-8716
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Fax | 772-257-5653
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. GALIT SHALOM-CRAIG
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Credential | PSY.D.
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Telephone | 772-713-8716
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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 6510
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License Number State | FL
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