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General NPI Number Information
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NPI Number | 1861764136
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Entity Type | Individual
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Provider Name | JOSEPHINE WHALEN PSYD
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Gender | Female
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 9325 GLADES RD SUITE 208
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City | BOCA RATON
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State | FL
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Zip | 33434-3988
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Country | US
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Telephone | 561-400-9312
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Fax | 561-482-2690
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Provider Business Mailing Address
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Address Line | 8087 NW 128TH LN
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City | PARKLAND
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State | FL
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Zip | 33076-4902
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Country | US
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Telephone | 561-400-9312
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Fax | 561-482-2690
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PY8404
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PY8404
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License Number State | FL
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