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General NPI Number Information
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NPI Number | 1366410805
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Entity Type | Individual
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Provider Name | DAVID P ARMENTROUT PHD
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 01/20/2014
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Provider Practice Location Address
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Address Line | 7600 S LEWIS AVE
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City | TULSA
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State | OK
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Zip | 74136-6836
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Country | US
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Telephone | 918-493-7850
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Fax |
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Provider Business Mailing Address
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Address Line | 7600 S LEWIS AVE
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City | TULSA
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State | OK
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Zip | 74136-6836
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Country | US
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Telephone | 918-493-7850
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 266
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License Number State | OK
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