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General NPI Number Information
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NPI Number | 1801121330
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Entity Type | Organization
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Legal Business Name | DR.EVALINA BESTMAN, PA
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Dates
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Enumeration Date | 10/16/2009
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 1175 NE 125TH ST SUITE 616
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5015
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Country | US
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Telephone | 305-895-4220
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Fax | 305-895-4168
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Provider Business Mailing Address
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Address Line | 1175 NE 125TH ST SUITE 616
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5015
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Country | US
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Telephone | 305-895-4220
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Fax | 305-895-4168
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. EVALINA WILLIAMS BESTMAN
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Credential | PH.D
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Telephone | 305-895-4220
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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 | PY2724
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License Number State | FL
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