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General NPI Number Information
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NPI Number | 1790978435
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Entity Type | Organization
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Legal Business Name | ROSLYN PASS PHD PA
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 9085 SW 87TH AVE SUITE 201
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City | MIAMI
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State | FL
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Zip | 33176-2309
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Country | US
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Telephone | 305-595-2077
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Fax |
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Provider Business Mailing Address
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Address Line | 9085 SW 87TH AVE SUITE 201
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City | MIAMI
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State | FL
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Zip | 33176-2309
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Country | US
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Telephone | 305-595-2077
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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. ROSLYN PASS
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Credential | PH.D.
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Telephone | 305-595-2600
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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 |
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License Number State |
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