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NPI 1366609265

NPI 1366609265 : RICHARD OLIVER TEMPLE PH.D. : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1366609265
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD OLIVER TEMPLE PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/19/2008
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    Last Update Date     |    11/18/2025
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Provider Practice Location Address
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    Address Line         |    706 WEST BEN WHITE BLVD BLDG B STE120
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78704
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    Country              |    US
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    Telephone            |    512-294-2304
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    Fax                  |    512-852-4771
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Provider Business Mailing Address
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    Address Line         |    PO BOX 145 
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    City                 |    DRIPPING SPRINGS
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    State                |    TX
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    Zip                  |    78620-0145
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    Country              |    US
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    Telephone            |    512-694-9191
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    Fax                  |    512-852-4771
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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       |    32760
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    103G00000X
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    Taxonomy Name        |    Clinical Neuropsychologist
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    License Number       |    
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    License Number State |    
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