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General NPI Number Information
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NPI Number | 1659183069
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Entity Type | Organization
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Legal Business Name | JERRI SENDACH PH.D, INC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 11805 WATERCREST LN
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City | BOCA RATON
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State | FL
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Zip | 33498-6214
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Country | US
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Telephone | 561-418-7882
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Fax |
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Provider Business Mailing Address
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Address Line | 11805 WATERCREST LN
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City | BOCA RATON
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State | FL
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Zip | 33498-6214
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JERRI SENDACH
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Credential | PHD
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Telephone | 561-418-7882
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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 |
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License Number State |
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