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General NPI Number Information
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NPI Number | 1720393705
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Entity Type | Individual
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Provider Name | SHEBA PAIVANDY KATZ PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 12791 WORLD PLAZA LN BLDG. #89
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City | FORT MYERS
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State | FL
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Zip | 33907-3989
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Country | US
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Telephone | 239-247-1756
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Fax | 239-690-2438
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Provider Business Mailing Address
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Address Line | 12791 WORLD PLAZA LN BLDG 89
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City | FORT MYERS
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State | FL
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Zip | 33907-3989
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Country | US
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Telephone | 239-247-1756
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Fax | 239-690-2438
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY8046
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY8046
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License Number State | FL
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