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General NPI Number Information
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NPI Number | 1629228028
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Entity Type | Organization
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Legal Business Name | ABSOLUTE PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 6450 W 21ST CT SUITE 207
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City | HIALEAH
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State | FL
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Zip | 33016-3946
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Country | US
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Telephone | 305-826-9293
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Fax | 305-826-9224
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Provider Business Mailing Address
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Address Line | 6450 W 21ST CT SUITE 207
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City | HIALEAH
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State | FL
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Zip | 33016-3946
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Country | US
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Telephone | 305-826-9293
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Fax | 305-826-9224
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. ALINA S FEAS
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Credential | PSYD
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Telephone | 305-826-9292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | PY7073
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License Number State | FL
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