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General NPI Number Information
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NPI Number | 1659135176
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Entity Type | Organization
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Legal Business Name | LIVE OAK PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 3701 MISTY CREEK DR
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City | AUSTIN
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State | TX
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Zip | 78735-1488
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Country | US
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Telephone | 512-766-9871
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Fax |
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Provider Business Mailing Address
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Address Line | 2295 S FRANKLIN ST
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City | DENVER
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State | CO
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Zip | 80210-4612
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Country | US
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Telephone | 512-239-8688
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMILY TURINAS
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Credential | PHD
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Telephone | 512-766-9871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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