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General NPI Number Information
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NPI Number | 1790217883
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Entity Type | Organization
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Legal Business Name | MARGOT C BERROS PSYD PL
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 1725 MAIN ST SUITE 217
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City | WESTON
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State | FL
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Zip | 33326-3667
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Country | US
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Telephone | 954-385-8884
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Fax | 954-385-6911
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Provider Business Mailing Address
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Address Line | 1725 MAIN ST SUITE 217
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City | WESTON
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State | FL
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Zip | 33326-3667
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Country | US
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Telephone | 954-385-8884
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Fax | 954-385-6911
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Authorized Official
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Title or Position | PSYCHOLOGIST-MANAGER
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Name | MARGOT BERROS
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Credential |
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Telephone | 954-415-9868
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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 | PY7629
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License Number State | FL
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