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General NPI Number Information
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NPI Number | 1942325824
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Entity Type | Organization
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Legal Business Name | WESTON CENTER FOR PSYCHOLOGICAL SERVICES INC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1625 N COMMERCE PKWY SUITE 305
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City | WESTON
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State | FL
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Zip | 33326
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Country | US
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Telephone | 954-389-5563
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Fax | 954-389-6690
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Provider Business Mailing Address
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Address Line | PO BOX 268508
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City | WESTON
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State | FL
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Zip | 33326
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Country | US
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Telephone | 954-389-5563
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Fax | 954-389-6690
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Authorized Official
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Title or Position | DIRECTOR CLINICAL PSYCHOLOGIST
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Name | DALIA SAFFA BILLER
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Credential |
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Telephone | 954-389-5563
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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 | PY5859
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License Number State | FL
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