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General NPI Number Information
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NPI Number | 1407621659
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Entity Type | Organization
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Legal Business Name | TEXOMA PSYCHOLOGY GROUP, PLLC
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Dates
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Enumeration Date | 11/17/2023
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 812 12TH AVE NW
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City | ARDMORE
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State | OK
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Zip | 73401-5708
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Country | US
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Telephone | 580-319-5983
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Fax |
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Provider Business Mailing Address
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Address Line | 122 YORKTOWN RD
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City | ARDMORE
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State | OK
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Zip | 73401-0719
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN RORING II
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Credential |
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Telephone | 580-319-5983
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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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