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General NPI Number Information
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NPI Number | 1720859077
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Entity Type | Organization
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Legal Business Name | INTERREMEDIES HEALTHCARE SYSTEMS LLC
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 12/29/2024
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Provider Practice Location Address
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Address Line | 3000 RIVERSIDE DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-1009
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Country | US
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Telephone | 201-972-5333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 422
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City | PATERSON
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State | NJ
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Zip | 07543-0422
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Country | US
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Telephone | 201-972-5333
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Fax |
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Authorized Official
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Title or Position | CEO/CLINICAL PSYCHOLOGIST
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Name | DR. PIERRE LEON
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Credential |
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Telephone | 201-972-5333
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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 |
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License Number State |
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