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General NPI Number Information
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NPI Number | 1437180825
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Entity Type | Individual
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Provider Name | GABRIELA FECIK OTT PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 830 29TH ST
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City | ORLANDO
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State | FL
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Zip | 32805-6201
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Country | US
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Telephone | 321-604-7024
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Fax |
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Provider Business Mailing Address
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Address Line | 3805 BISCAYNE DR
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-4628
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Country | US
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Telephone | 321-604-7024
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY7273
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License Number State | FL
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