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General NPI Number Information
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NPI Number | 1760708036
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Entity Type | Individual
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Provider Name | LAUREN GERBER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/12/2010
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 7100 W CAMINO REAL SUITE 404
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City | BOCA RATON
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State | FL
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Zip | 33433-5510
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Country | US
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Telephone | 847-317-1307
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Fax |
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Provider Business Mailing Address
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Address Line | 7100 W CAMINO REAL SUITE 404
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City | BOCA RATON
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State | FL
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Zip | 33433-5510
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Country | US
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Telephone | 847-317-1307
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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 | 071005774
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY8756
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 07005774
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License Number State | IL
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