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General NPI Number Information
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NPI Number | 1134043227
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Entity Type | Individual
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Provider Name | TREVOR INK PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 3035 NW 63RD ST STE 227
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-3631
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Country | US
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Telephone | 405-242-6460
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Fax | 405-544-5916
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Provider Business Mailing Address
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Address Line | 3035 NW 63RD ST STE 227
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-3631
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Country | US
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Telephone | 405-242-6460
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Fax | 405-544-5916
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | OK
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