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General NPI Number Information
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NPI Number | 1932445418
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Entity Type | Organization
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Legal Business Name | CYNTHIA G. LAST, PHD, PA
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Dates
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Enumeration Date | 01/02/2013
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 7777 GLADES RD SUITE 317
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City | BOCA RATON
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State | FL
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Zip | 33434-4194
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Country | US
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Telephone | 561-218-8887
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Fax |
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Provider Business Mailing Address
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Address Line | 10746 STONEBRIDGE BLVD
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City | BOCA RATON
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State | FL
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Zip | 33498-6413
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Country | US
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Telephone | 561-218-8887
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CYNTHIA LAST RUBIN
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Credential | PH.D.
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Telephone | 561-218-8887
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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 | PY4425
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License Number State | FL
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