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General NPI Number Information
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NPI Number | 1184901720
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Entity Type | Individual
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Provider Name | KARA M ANADY PSYD
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Gender | Female
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 2524 N BROADWAY # 480
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City | EDMOND
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State | OK
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Zip | 73034-4172
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Country | US
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Telephone | 405-856-6965
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Fax |
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Provider Business Mailing Address
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Address Line | 1305 DEVONSHIRE CT
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City | EDMOND
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State | OK
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Zip | 73034-5784
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Country | US
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Telephone | 847-293-8749
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Fax |
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 1304
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 458
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1304
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License Number State | OK
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