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General NPI Number Information
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NPI Number | 1730840216
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Entity Type | Individual
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Provider Name | BRITTANY CARBAUGH PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 9912 LITTLE RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-3419
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Country | US
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Telephone | 813-729-2340
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Fax |
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Provider Business Mailing Address
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Address Line | 1738 LENAWEE LOOP APT 304
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-6722
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Country | US
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Telephone | 727-810-0928
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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 | P.08257
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License Number State | OH
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