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NPI 1952324253

NPI 1952324253 : MELISSA ORTIZ-BECHER PY : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1952324253
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA ORTIZ-BECHER PY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/26/2006
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    Last Update Date     |    12/21/2016
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Provider Practice Location Address
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    Address Line         |    7301 WEST PALMETTO PARK RD. SUITE 104 B
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33433-3455
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    Country              |    US
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    Telephone            |    561-368-9940
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    Fax                  |    561-736-5178
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Provider Business Mailing Address
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    Address Line         |    11419 MILLPOND GREENS DR 
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33473-7803
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    Country              |    US
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    Telephone            |    561-906-7764
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    Fax                  |    561-736-5178
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    MH8182
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    103G00000X
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    Taxonomy Name        |    Clinical Neuropsychologist
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    License Number       |    PY7318
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PY7318
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    License Number State |    FL
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