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General NPI Number Information
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NPI Number | 1093909145
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Entity Type | Individual
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Provider Name | DEBORAH LYNN STORY PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 09/07/2025
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Provider Practice Location Address
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Address Line | 3500 VIRGINIA BEACH BLVD STE 202
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-4445
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Country | US
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Telephone | 757-720-1040
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Fax | 757-720-1041
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Provider Business Mailing Address
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Address Line | 3500 VIRGINIA BEACH BLVD STE 202
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-4445
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Country | US
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Telephone | 757-720-1040
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Fax | 757-720-1041
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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 | 3109
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License Number State | NC
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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 | 1194
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License Number State | WV
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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 | 0810004193
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 04485
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License Number State | MD
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