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General NPI Number Information
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NPI Number | 1528093523
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Entity Type | Individual
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Provider Name | CHARYLE LANGELLE PHD
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Gender | Female
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 1015 S BROADWAY STE 18
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City | MINOT
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State | ND
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Zip | 58701-4667
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Country | US
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Telephone | 701-857-8500
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Fax | 701-857-8555
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Provider Business Mailing Address
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Address Line | 1015 S BROADWAY STE 18
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City | MINOT
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State | ND
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Zip | 58701-4667
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Country | US
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Telephone | 701-857-8500
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Fax | 701-857-8555
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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 | 340
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License Number State | ND
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