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General NPI Number Information
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NPI Number | 1659666733
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Entity Type | Organization
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Legal Business Name | TINA JULES, PA
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 06/16/2011
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Provider Practice Location Address
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Address Line | 1825 FOREST HILL BLVD STE 103
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6058
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Country | US
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Telephone | 954-857-7360
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Fax |
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Provider Business Mailing Address
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Address Line | 1628 SALERNO CIR
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City | WESTON
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State | FL
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Zip | 33327-1904
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Country | US
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Telephone | 954-857-7360
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. TINA JULES
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Credential | PSY.D.
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Telephone | 954-857-7360
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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 | PY7797
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License Number State | FL
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