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General NPI Number Information
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NPI Number | 1881414605
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Entity Type | Individual
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Provider Name | TABEEL HIBBERT
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Gender | Female
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 15924 SW 92ND AVE
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1842
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Country | US
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Telephone | 305-964-5824
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Fax |
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Provider Business Mailing Address
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Address Line | 2750 SOMERSET DR APT 209
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-2793
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Country | US
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Telephone | 954-391-3589
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW20504
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License Number State | FL
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