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General NPI Number Information
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NPI Number | 1801298997
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Entity Type | Organization
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Legal Business Name | ROBIN A AVERY PHD PLLC
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 9999 NE 2ND AVE SUITE 209E
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2352
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Country | US
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Telephone | 786-615-4758
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Fax |
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Provider Business Mailing Address
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Address Line | 10618 NE 10TH PL
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2104
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Country | US
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Telephone | 305-992-0370
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBIN A AVERY
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Credential | PHD
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Telephone | 305-992-0370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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