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General NPI Number Information
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NPI Number | 1588641666
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Entity Type | Individual
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Provider Name | DEBRA LYNN STIBICK PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 8130 66TH ST N STE 10
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City | PINELLAS PARK
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State | FL
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Zip | 33781-2111
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Country | US
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Telephone | 520-490-2040
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Fax | 727-565-4188
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Provider Business Mailing Address
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Address Line | PO BOX 3236
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City | SEMINOLE
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State | FL
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Zip | 33775-3236
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Country | US
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Telephone | 520-490-2040
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Fax | 727-565-4188
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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 | 3689
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License Number State | AZ
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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 | PY-9710
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License Number State | FL
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