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General NPI Number Information
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NPI Number | 1851647739
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Entity Type | Organization
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Legal Business Name | NEUROPSYCHOLOGICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 300 71ST ST SUITE 612
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3038
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Country | US
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Telephone | 305-532-1945
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Fax | 305-532-6263
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Provider Business Mailing Address
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Address Line | 300 71ST ST SUITE 612
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City | MIAMI BEACH
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State | FL
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Zip | 33141-3038
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Country | US
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Telephone | 305-532-1945
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Fax | 305-532-6263
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Authorized Official
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Title or Position | PSYCHOLOGIST - NEUROPSYCHOLOGIST
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Name | DR. HYMAN HIRSCH EISENSTEIN
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Credential | PH.D.
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Telephone | 305-532-1945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | PY0003548
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License Number State | FL
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