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General NPI Number Information
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NPI Number | 1760800817
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Entity Type | Organization
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Legal Business Name | VALARIE A. KAGER, PH.D., P.A.
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 3457 BROOK CROSSING DR
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City | BRANDON
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State | FL
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Zip | 33511-8181
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Country | US
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Telephone | 813-655-5550
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Fax | 813-600-5503
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Provider Business Mailing Address
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Address Line | 3457 BROOK CROSSING DR
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City | BRANDON
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State | FL
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Zip | 33511-8181
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Country | US
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Telephone | 813-655-5550
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Fax | 813-600-5503
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Authorized Official
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Title or Position | PRESIDENT
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Name | VALARIE KAGER
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Credential | PH.D.
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Telephone | 813-655-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | PY5566
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License Number State | FL
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