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General NPI Number Information
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NPI Number | 1689711830
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Entity Type | Organization
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Legal Business Name | HODAN PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3745 5TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33713-7519
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Country | US
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Telephone | 727-399-0806
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Fax | 866-469-3880
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Provider Business Mailing Address
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Address Line | 734 37TH AVE NE
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City | ST PETERSBURG
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State | FL
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Zip | 33704-1620
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Country | US
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Telephone | 727-743-4149
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Fax | 866-469-3880
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Authorized Official
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Title or Position | PARTNER
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Name | CLAUDIA J RESSEL-HODAN
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Credential | PSYD
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Telephone | 727-399-0806
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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 | PY5343
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License Number State | FL
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