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General NPI Number Information
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NPI Number | 1629318928
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Entity Type | Organization
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Legal Business Name | ROBERT BIRKFELD, PSY.D., P.A.
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Dates
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Enumeration Date | 02/22/2013
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 1745 SW SAINT ANDREWS DR
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City | PALM CITY
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State | FL
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Zip | 34990-2205
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Country | US
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Telephone | 772-220-8200
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Fax | 888-234-3722
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Provider Business Mailing Address
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Address Line | 1745 SW SAINT ANDREWS DR
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City | PALM CITY
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State | FL
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Zip | 34990-2205
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Country | US
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Telephone | 772-220-8200
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Fax | 888-234-3722
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT BIRKFELD
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Credential | PSY.D.
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Telephone | 772-220-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PY 8686
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License Number State | FL
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