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General NPI Number Information
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NPI Number | 1700423373
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL HEALING SOLUTIONS
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Dates
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Enumeration Date | 12/03/2019
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Last Update Date | 12/03/2019
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Provider Practice Location Address
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Address Line | 2699 STIRLING RD STE C304
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-6592
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Country | US
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Telephone | 754-444-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 10761 NW 14TH ST APT 282
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City | PLANTATION
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State | FL
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Zip | 33322-6950
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Country | US
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Telephone | 954-612-1456
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/PROVIDER
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Name | DR. SIGAL LEVY
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Credential | PH.D
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Telephone | 954-612-1456
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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 |
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