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General NPI Number Information
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NPI Number | 1649087503
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Entity Type | Individual
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Provider Name | VICKI D PAPAEMANUEL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/14/2024
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Last Update Date | 12/14/2024
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Provider Practice Location Address
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Address Line | 8520 GOVERNMENT DR STE 1
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-5511
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Country | US
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Telephone | 727-967-2387
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Fax |
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Provider Business Mailing Address
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Address Line | 7325 GULF WAY
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City | HUDSON
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State | FL
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Zip | 34667-3954
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Country | US
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Telephone | 727-967-2387
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY12289
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License Number State | FL
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