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General NPI Number Information
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NPI Number | 1912635392
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Entity Type | Individual
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Provider Name | TONISE FLOREXIL
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Gender | Female
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Dates
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Enumeration Date | 08/12/2022
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 10130 NORTHLAKE BLVD STE 214-127
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City | WEST PALM BEACH
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State | FL
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Zip | 33412-1101
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Country | US
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Telephone | 561-455-6826
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Fax |
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Provider Business Mailing Address
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Address Line | 10705 LA STRADA
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City | WEST PALM BEACH
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State | FL
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Zip | 33412-3037
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Country | US
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Telephone | 561-455-6826
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Fax | 561-530-2053
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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 | PY11507
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License Number State | FL
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