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General NPI Number Information
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NPI Number | 1972048668
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Entity Type | Organization
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Legal Business Name | HAICA ROSENFELD, PSY.D. LLC
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Dates
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Enumeration Date | 01/04/2017
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Last Update Date | 01/04/2017
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Provider Practice Location Address
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Address Line | 19300 W DIXIE HWY SUITE 2
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City | MIAMI
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State | FL
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Zip | 33180-2201
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Country | US
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Telephone | 305-401-2026
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Fax |
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Provider Business Mailing Address
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Address Line | 3245 NE 184TH ST APT 13304
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City | AVENTURA
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State | FL
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Zip | 33160-4912
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Country | US
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Telephone | 305-401-2026
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. HAICA ROSENFELD
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Credential | PSY.D.
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Telephone | 305-401-2026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY8408
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License Number State | FL
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