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General NPI Number Information
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NPI Number | 1760791354
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Entity Type | Organization
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Legal Business Name | ZENAIDA PAULA, PSY.D. INC.
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 3460 N KEY DR APT 503
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City | N FORT MYERS
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State | FL
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Zip | 33903-7033
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Country | US
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Telephone | 239-303-2583
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Fax |
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Provider Business Mailing Address
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Address Line | 3460 N KEY DR APT 503
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City | N FORT MYERS
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State | FL
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Zip | 33903-7033
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Country | US
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Telephone | 239-303-2583
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ZENAIDA PAULA
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Credential | PSY.D.
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Telephone | 239-303-2583
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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 | PY8114
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License Number State | FL
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