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General NPI Number Information
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NPI Number | 1215019104
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Entity Type | Individual
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Provider Name | CACTUS ROBIN MCGIRK PHD
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 2007 TEXOMA PKWY SUITE 194
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City | SHERMAN
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State | TX
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Zip | 75090
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Country | US
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Telephone | 903-893-5344
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Fax | 903-893-5344
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Provider Business Mailing Address
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Address Line | 2007 TEXOMA PKWY SUITE 194
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City | SHERMAN
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State | TX
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Zip | 75090
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Country | US
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Telephone | 903-893-5344
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Fax | 903-893-5344
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 23018
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 810
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 30440
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License Number State | TX
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