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General NPI Number Information
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NPI Number | 1821322447
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Entity Type | Organization
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Legal Business Name | NEURO CONNECTIONS INC
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 09/29/2009
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Provider Practice Location Address
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Address Line | 717 PONCE DE LEON BLVD SUITE 327
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City | CORAL GABLES
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State | FL
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Zip | 33134-2060
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Country | US
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Telephone | 305-445-5994
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Fax | 305-445-5999
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Provider Business Mailing Address
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Address Line | 11419 MILLPOND GREENS DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33473-7803
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Country | US
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Telephone | 561-736-5178
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Fax | 561-736-5178
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MELISSA BECHER
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Credential | PSY D
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Telephone | 561-736-5178
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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 | PY7318
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License Number State | FL
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