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General NPI Number Information
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NPI Number | 1356915342
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Entity Type | Organization
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Legal Business Name | PAUL G TOBIN PHD PROF CORP
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Dates
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Enumeration Date | 05/14/2021
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Last Update Date | 05/14/2021
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Provider Practice Location Address
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Address Line | 3855 S BOULEVARD STE 100
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City | EDMOND
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State | OK
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Zip | 73013-5499
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Country | US
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Telephone | 405-340-4321
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Fax | 405-340-9408
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Provider Business Mailing Address
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Address Line | 3855 S BOULEVARD STE 100
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City | EDMOND
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State | OK
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Zip | 73013-5499
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Country | US
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Telephone | 405-340-4321
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | PAUL G TOBIN PHD PSYCHOLOGIST
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Credential | PHD
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Telephone | 405-340-4321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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