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General NPI Number Information
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NPI Number | 1659793313
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Entity Type | Organization
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Legal Business Name | DR GAIL GREENSPOON CONSULTING SERVICES PL
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 2499 GLADES RD SUITE 203
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City | BOCA RATON
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State | FL
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Zip | 33431-7209
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Country | US
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Telephone | 561-392-7779
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Fax | 561-447-9234
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Provider Business Mailing Address
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Address Line | 2499 GLADES RD SUITE 203
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City | BOCA RATON
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State | FL
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Zip | 33431-7209
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Country | US
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Telephone | 561-392-7779
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Fax | 561-447-9234
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. GAIL LESLIE GREENSPOON
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Credential | ED. D.
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Telephone | 561-392-7779
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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 | PY0004938
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License Number State | FL
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