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General NPI Number Information
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NPI Number | 1326220815
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Entity Type | Organization
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Legal Business Name | JANET WILLIS PHD PC INC
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 7146 S BRADEN AVE SUITE 500
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City | TULSA
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State | OK
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Zip | 74136-6371
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Country | US
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Telephone | 918-640-2632
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Fax | 918-488-8021
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Provider Business Mailing Address
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Address Line | 7146 S BRADEN AVE SUITE 500
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City | TULSA
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State | OK
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Zip | 74136-6371
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Country | US
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Telephone | 918-640-2632
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Fax | 918-488-8021
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JANET WILLIS
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Credential | PH.D.
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Telephone | 918-640-2632
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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 |
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License Number State |
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