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General NPI Number Information
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NPI Number | 1104850346
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Entity Type | Individual
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Provider Name | KRIKOR B GARABEDIAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 913 S MAIN ST SUITE 1
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City | STILLWATER
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State | OK
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Zip | 74074-4635
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Country | US
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Telephone | 405-743-8318
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Fax | 405-743-8318
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Provider Business Mailing Address
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Address Line | 913 S MAIN ST SUITE 1
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City | STILLWATER
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State | OK
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Zip | 74074-4635
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Country | US
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Telephone | 405-743-8318
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Fax | 405-743-8318
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 714
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 714
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 714
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 714
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 714
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License Number State | OK
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