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General NPI Number Information
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NPI Number | 1649083262
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Entity Type | Individual
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Provider Name | NICOLE DANIELLE A YEE-NICHOLSON PSY.D
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Gender | Female
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 2281 SW 129TH AVE
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City | MIRAMAR
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State | FL
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Zip | 33027-2652
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Country | US
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Telephone | 954-998-6535
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Fax |
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Provider Business Mailing Address
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Address Line | 15711 SW 20TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-4204
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Country | US
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Telephone | 954-707-7753
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PY12584
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License Number State | FL
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