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General NPI Number Information
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NPI Number | 1720329287
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Entity Type | Individual
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Provider Name | CARMEN THOMAS-COMEAUX PHD
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Gender | Female
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Dates
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Enumeration Date | 03/08/2013
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Last Update Date | 03/08/2013
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Provider Practice Location Address
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Address Line | 9365 US HIGHWAY 19 N SUITE A1
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City | PINELLAS PARK
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State | FL
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Zip | 33782-5400
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Country | US
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Telephone | 727-504-5989
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Fax |
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Provider Business Mailing Address
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Address Line | 2 CHEROKEE CT
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City | MADEIRA BEACH
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State | FL
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Zip | 33708-4014
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Country | US
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Telephone | 727-504-5989
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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 | PY7925
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License Number State | FL
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