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General NPI Number Information
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NPI Number | 1891166591
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Entity Type | Organization
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Legal Business Name | PAMELA FELDMAN, PHD LLC
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 1050 NW 15TH ST SUITE 216A
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City | BOCA RATON
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State | FL
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Zip | 33486-1375
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Country | US
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Telephone | 561-385-9434
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Fax |
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Provider Business Mailing Address
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Address Line | 6510 NW 74TH DR
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City | PARKLAND
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State | FL
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Zip | 33067-3927
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Country | US
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Telephone | 561-385-9434
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. PAMELA FELDMAN
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Credential | PHD
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Telephone | 561-385-9434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY5200
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License Number State | FL
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