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General NPI Number Information
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NPI Number | 1679612576
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE ROTHMAN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1900 S OLIVE AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-7726
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Country | US
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Telephone | 561-586-8947
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Fax |
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Provider Business Mailing Address
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Address Line | 3605 S OCEAN BLVD B 312
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City | PALM BEACH
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State | FL
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Zip | 33480-6313
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Country | US
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Telephone | 561-586-8947
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY7108
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | IL
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