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General NPI Number Information
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NPI Number | 1144526716
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Entity Type | Organization
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Legal Business Name | DEBORAH HUNTLEY PHD PA
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 1608 OAK ST
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City | SARASOTA
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State | FL
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Zip | 34236-7517
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Country | US
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Telephone | 941-366-2442
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Fax | 941-349-1401
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Provider Business Mailing Address
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Address Line | 1608 OAK ST
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City | SARASOTA
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State | FL
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Zip | 34236-7517
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Country | US
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Telephone | 941-366-2442
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Fax | 941-349-1401
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. LARAINE GORMAN-HURD
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Credential |
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Telephone | 941-966-2773
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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 |
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License Number State |
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