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General NPI Number Information
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NPI Number | 1134175763
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Entity Type | Organization
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Legal Business Name | DEER OAKS MENTAL HEALTH ASSOCIATES PC
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 3025 TERRACE DR
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City | LAS CRUCES
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State | NM
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Zip | 88011-5053
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Country | US
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Telephone | 888-365-6271
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Fax |
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Provider Business Mailing Address
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Address Line | 7272 WURZBACH RD STE 601
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City | SAN ANTONIO
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State | TX
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Zip | 78240-4803
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Country | US
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Telephone | 888-365-6271
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Fax | 210-615-2279
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Authorized Official
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Title or Position | CEO
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Name | PAUL ALAN BOSKIND
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Credential | PH.D.
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Telephone | 888-365-6271
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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 | 23669
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License Number State | TX
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