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General NPI Number Information
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NPI Number | 1699311761
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Entity Type | Individual
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Provider Name | BEVERLY D LATIMER
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Gender | Female
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Dates
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Enumeration Date | 11/22/2019
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 1700 N CONGRESS AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-1612
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Country | US
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Telephone | 561-215-0933
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Fax |
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Provider Business Mailing Address
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Address Line | 244 CLOCKTOWER DR
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City | JUPITER
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State | FL
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Zip | 33458-3503
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Country | US
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Telephone | 561-222-1069
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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