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General NPI Number Information
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NPI Number | 1750798567
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Entity Type | Organization
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Legal Business Name | BAYSHORE PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 15525 STARLING CROSSING DR
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City | LITHIA
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State | FL
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Zip | 33547-4021
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Country | US
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Telephone | 813-351-9235
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Fax |
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Provider Business Mailing Address
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Address Line | 15525 STARLING CROSSING DR
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City | LITHIA
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State | FL
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Zip | 33547-4021
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Country | US
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Telephone | 813-351-9235
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ROBERT KLUKOFF
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Credential | PSY.D.
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Telephone | 813-351-9235
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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 | PY8123
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License Number State | FL
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