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General NPI Number Information
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NPI Number | 1316385016
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Entity Type | Organization
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Legal Business Name | CLIFFORD A. KARY, PH.D. P.C.
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 06/05/2013
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Provider Practice Location Address
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Address Line | 813 SW B AVE SUITE C
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City | LAWTON
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State | OK
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Zip | 73501-3954
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Country | US
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Telephone | 580-583-5034
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2331
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City | LAWTON
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State | OK
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Zip | 73502-2331
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Country | US
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Telephone | 580-583-5034
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CLIFFORD ARTHUR KARY
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Credential | PH.D.
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Telephone | 580-583-5034
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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 |
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License Number State |
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