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General NPI Number Information
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NPI Number | 1639248768
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Entity Type | Individual
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Provider Name | DEBORAH L. PRIBULICK NP
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 28538 DUPONT BLVD
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City | MILLSBORO
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State | DE
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Zip | 19966-4791
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Country | US
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Telephone | 302-934-0944
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Fax | 302-934-0920
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Provider Business Mailing Address
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Address Line | 1 GUTHRIE SQ
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City | SAYRE
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State | PA
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Zip | 18840-1625
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Country | US
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Telephone | 570-888-5858
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F320061
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LG0011474
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License Number State | DE
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