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General NPI Number Information
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NPI Number | 1700137254
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL SOLUTIONS HEALTH CENTER PLLC
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Dates
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Enumeration Date | 09/24/2012
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 2020 NE 163RD ST SUITE 300 F
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4927
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Country | US
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Telephone | 786-565-7925
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Fax | 305-948-9785
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Provider Business Mailing Address
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Address Line | 2020 NE 163RD ST SUITE 300 F
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4927
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Country | US
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Telephone | 786-565-7925
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Fax | 305-948-9785
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. SHIRLEY DELVA
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Credential | PH.D.
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Telephone | 786-565-7925
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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 |
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License Number State | FL
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