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General NPI Number Information
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NPI Number | 1801292842
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Entity Type | Organization
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Legal Business Name | CARE PSYCH CORPORATION
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 9370 SW 72ND ST STE A240
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City | MIAMI
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State | FL
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Zip | 33173-5462
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Country | US
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Telephone | 305-274-8919
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Fax | 305-274-4137
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Provider Business Mailing Address
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Address Line | 9370 SW 72ND ST STE A240
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City | MIAMI
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State | FL
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Zip | 33173-5462
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Country | US
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Telephone | 305-274-8919
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Fax | 305-274-4137
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PAUL FERIA
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Credential | PHD
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Telephone | 305-274-9755
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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 | PY00004380
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License Number State | FL
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