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General NPI Number Information
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NPI Number | 1417879958
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Entity Type | Individual
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Provider Name | ISABEL SIBLE PHD
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Gender |
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 245 BALCLUTHA DR
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City | CORTE MADERA
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State | CA
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Zip | 94925-1945
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Country | US
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Telephone | 360-202-1198
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Fax |
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Provider Business Mailing Address
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Address Line | 454 LAS GALLINAS AVE # 1122
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City | SAN RAFAEL
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State | CA
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Zip | 94903-3618
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Country | US
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Telephone |
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Fax |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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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 | 36825
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License Number State | CA
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