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General NPI Number Information
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NPI Number | 1821206806
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN PSYCHIATRY PA
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 21110 BISCAYNE BLVD SUITE 406
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City | AVENTURA
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State | FL
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Zip | 33180-1227
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Country | US
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Telephone | 305-935-4391
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Fax |
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Provider Business Mailing Address
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Address Line | 21110 BISCAYNE BLVD SUITE 406
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City | AVENTURA
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State | FL
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Zip | 33180-1227
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Country | US
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Telephone | 305-935-4391
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. JACK ABRAMSON
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Credential | M.D.
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Telephone | 305-935-4391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME57503
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License Number State | FL
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