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General NPI Number Information
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NPI Number | 1982960290
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Entity Type | Organization
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Legal Business Name | D GAMBLES & ASSOCIATES, PLLC
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 2200 PENNSYLVANIA AVE NW 4TH FLOOR, EAST TOWER
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City | WASHINGTON
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State | DC
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Zip | 20037-1701
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Country | US
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Telephone | 202-507-5725
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Fax | 202-507-5726
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Provider Business Mailing Address
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Address Line | 2200 PENNSYLVANIA AVE NW 4TH FLOOR, EAST TOWER
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City | WASHINGTON
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State | DC
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Zip | 20037-1701
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Country | US
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Telephone | 202-507-5725
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Fax | 202-507-5726
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBORAH GAMBLES
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Credential | PSYD
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Telephone | 202-507-5727
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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 | PSY1000622
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License Number State | DE
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