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General NPI Number Information
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NPI Number | 1316063365
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Entity Type | Organization
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Legal Business Name | ADVANCING PSYCHOLOGY INC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 5929 N MAY AVE SUITE 508
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-3909
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Country | US
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Telephone | 405-842-6446
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Fax | 405-842-5644
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Provider Business Mailing Address
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Address Line | 5929 N MAY AVE SUITE 508
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-3909
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Country | US
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Telephone | 405-842-6446
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Fax | 405-842-5644
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. VIRGINIA G. GREEN
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Credential |
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Telephone | 405-842-6446
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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 | 189
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License Number State | OK
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