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General NPI Number Information
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NPI Number | 1225101215
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Entity Type | Individual
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Provider Name | VIVIAN G HASBROOK M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 900 E MAIN ST BLDG. 100
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City | NORMAN
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State | OK
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Zip | 73071-5305
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Country | US
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Telephone | 405-307-4800
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Fax | 405-307-4865
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Provider Business Mailing Address
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Address Line | 4400 N LINCOLN BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73105-5104
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Country | US
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Telephone | 405-424-7711
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Fax | 405-307-4865
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 18945
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License Number State | OK
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