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General NPI Number Information
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NPI Number | 1356725279
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Entity Type | Organization
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Legal Business Name | TARBOX PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 2150 49TH ST N STE E
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City | ST PETERSBURG
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State | FL
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Zip | 33710
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Country | US
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Telephone | 727-685-0934
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Fax | 727-279-4986
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Provider Business Mailing Address
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Address Line | 1101 BELCHER RD S STE J
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City | LARGO
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State | FL
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Zip | 33771-3356
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Country | US
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Telephone | 727-531-7988
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. ALLISON LEE TARBOX
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Credential | PSY.D.
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Telephone | 727-685-0934
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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 | PY9307
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License Number State | FL
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