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General NPI Number Information
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NPI Number | 1902846777
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Entity Type | Individual
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Provider Name | DEBRA ANN TABOR ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 206 PARK PLACE BLVD
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City | KISSIMMEE
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State | FL
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Zip | 34741-2344
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Country | US
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Telephone | 407-846-0023
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Fax | 407-483-1064
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Provider Business Mailing Address
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Address Line | 206 PARK PLACE BLVD
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City | KISSIMMEE
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State | FL
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Zip | 34741-2344
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Country | US
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Telephone | 407-846-0023
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Fax | 407-483-1064
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP 9181038
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | ARNP9181038
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License Number State | FL
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