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General NPI Number Information
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NPI Number | 1669197323
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Entity Type | Individual
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Provider Name | ARLENE LOPEZ PSYD
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Gender | Female
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 800 SE 4TH AVE STE 816B
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-6498
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Country | US
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Telephone | 305-697-8997
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Fax | 305-517-5377
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Provider Business Mailing Address
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Address Line | 2391 NW 96TH TER APT 19C
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3045
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Country | US
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Telephone | 954-482-2113
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Fax | 305-517-5377
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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 | PY11038
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License Number State | FL
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