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General NPI Number Information
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NPI Number | 1386656106
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Entity Type | Individual
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Provider Name | RAYMOND MARCUS FUCHS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 03/03/2016
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Provider Practice Location Address
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Address Line | 330 W GRAY ST SUITE#518
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City | NORMAN
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State | OK
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Zip | 73069-7129
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Country | US
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Telephone | 405-217-2964
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Fax | 405-217-2408
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Provider Business Mailing Address
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Address Line | 330 W GRAY ST SUITE#518
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City | NORMAN
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State | OK
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Zip | 73069-7129
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Country | US
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Telephone | 405-217-2964
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Fax | 405-217-2408
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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 | 577
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License Number State | OK
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