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General NPI Number Information
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NPI Number | 1295958387
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Entity Type | Individual
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Provider Name | ALLAN P VIVES PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 1501 SADDLE LN
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City | BARTLESVILLE
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State | OK
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Zip | 74006-5745
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Country | US
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Telephone | 918-387-8428
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Fax | 918-309-2944
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Provider Business Mailing Address
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Address Line | 1501 SADDLE LN
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City | BARTLESVILLE
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State | OK
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Zip | 74006-5745
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Country | US
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Telephone | 918-387-8428
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Fax | 918-309-2944
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY002716
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1488
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License Number State | OK
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