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NPI 1669109484

NPI 1669109484 : ROBYN N ENGLISH : LAWTON, OK

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General NPI Number Information
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    NPI Number           |    1669109484
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    Entity Type          |    Individual 
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    Provider Name        |    ROBYN N ENGLISH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/02/2022
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    Last Update Date     |    08/02/2022
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Provider Practice Location Address
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    Address Line         |    1032 NW 38TH ST 
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    City                 |    LAWTON
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    State                |    OK
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    Zip                  |    73505-3704
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    Country              |    US
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    Telephone            |    580-699-2700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    614 AUBA JANE CIR 
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    City                 |    CACHE
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    State                |    OK
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    Zip                  |    73527-9617
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    Country              |    US
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    Telephone            |    405-762-9017
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    Fax                  |    
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    BACB818882
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    License Number State |    OK
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