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General NPI Number Information
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NPI Number | 1912938622
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Entity Type | Individual
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Provider Name | JOHN S. AUERBACH PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 130 S UNIVERSITY DR
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City | PLANTATION
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State | FL
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Zip | 33324-3357
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Country | US
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Telephone | 352-213-6711
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Fax | 352-363-5650
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Provider Business Mailing Address
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Address Line | 6965 SOUTHPORT DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-6917
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Country | US
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Telephone | 352-213-6711
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Fax | 352-363-5650
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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 | P0000002020
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY9032
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License Number State | FL
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