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General NPI Number Information
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NPI Number | 1962784306
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Entity Type | Individual
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Provider Name | LISABETH RICE EDS
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Gender | Female
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Dates
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Enumeration Date | 09/12/2011
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Last Update Date | 09/12/2011
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Provider Practice Location Address
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Address Line | 28528 TALL GRASS DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-5829
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Country | US
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Telephone | 813-245-6912
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Fax |
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Provider Business Mailing Address
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Address Line | 6936 W LINEBAUGH AVE
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City | TAMPA
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State | FL
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Zip | 33625-5800
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Country | US
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Telephone | 813-245-6912
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Fax | 813-298-0626
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | SS 746
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License Number State | FL
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