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General NPI Number Information
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NPI Number | 1659785947
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Entity Type | Individual
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Provider Name | DR. JUDITH CARNEY
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Gender | Female
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 4716 PALMBROOKE CIR
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-7533
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Country | US
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Telephone | 908-328-5051
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Fax |
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Provider Business Mailing Address
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Address Line | 4716 PALMBROOKE CIR
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-7533
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Country | US
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Telephone | 561-577-2352
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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 | 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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