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General NPI Number Information
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NPI Number | 1942300546
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Entity Type | Individual
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Provider Name | ROSLYN KAREN MALMAUD PHD
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Gender | Female
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Dates
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Enumeration Date | 09/23/2006
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Last Update Date | 02/19/2017
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Provider Practice Location Address
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Address Line | 500 NE SPANISH RIVER BLVD STE 102
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City | BOCA RATON
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State | FL
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Zip | 33431-4500
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Country | US
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Telephone | 561-271-6776
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Fax | 561-997-9971
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Provider Business Mailing Address
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Address Line | 3975 NW 27TH AVE
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City | BOCA RATON
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State | FL
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Zip | 33434
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Country | US
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Telephone | 561-271-6776
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Fax | 561-368-0459
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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 | 4234
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License Number State | FL
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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 | 20069
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License Number State | CA
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