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General NPI Number Information
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NPI Number | 1871601427
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Entity Type | Individual
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Provider Name | ROBERT ANTHONY DEFRANCISCO PHD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1121 BELLEVILLE AVE
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City | BREWTON
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State | AL
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Zip | 36426-1500
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Country | US
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Telephone | 251-809-3290
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Fax | 251-809-3292
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Provider Business Mailing Address
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Address Line | PO BOX 648
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City | BREWTON
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State | AL
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Zip | 36427-0648
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Country | US
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Telephone | 251-809-3290
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Fax | 251-809-3292
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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 | 202
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License Number State | AL
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