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General NPI Number Information
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NPI Number | 1316504301
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Entity Type | Individual
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Provider Name | CECILIA LARIBA BIBIO NP
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Gender | Female
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Dates
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Enumeration Date | 05/24/2019
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 1020 EDGEWOOD RD
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City | EDGEWOOD
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State | MD
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Zip | 21040-1606
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Country | US
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Telephone | 443-409-6616
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Fax | 443-437-4869
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Provider Business Mailing Address
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Address Line | 1369 TRALEE CIR
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City | ABERDEEN
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State | MD
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Zip | 21001-2643
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Country | US
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Telephone | 443-409-6616
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Fax | 443-437-4869
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R185828
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R185828
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R185828
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License Number State | MD
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