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General NPI Number Information
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NPI Number | 1942992185
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Entity Type | Individual
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Provider Name | DEIRDRE M. OSHEA PHD
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Gender | Female
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 7700 CAMINO REAL STE 2
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City | BOCA RATON
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State | FL
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Zip | 33433-5576
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Country | US
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Telephone | 561-869-6836
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 CAMINO REAL STE 200
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City | BOCA RATON
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State | FL
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Zip | 33433-5576
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Country | US
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Telephone | 561-869-6836
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Fax |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY11880
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY11880
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License Number State | FL
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