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General NPI Number Information
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NPI Number | 1083657274
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Entity Type | Individual
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Provider Name | DARLINE THORSON PHD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 09/19/2011
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Provider Practice Location Address
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Address Line | 1800 N INTERSTATE DR STE 111
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City | NORMAN
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State | OK
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Zip | 73072-2995
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Country | US
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Telephone | 405-290-1411
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Fax | 405-290-1450
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Provider Business Mailing Address
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Address Line | PO BOX 721591
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City | NORMAN
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State | OK
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Zip | 73070-8222
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Country | US
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Telephone | 405-243-6770
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Fax | 405-290-1450
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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 | 964
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License Number State | OK
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