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General NPI Number Information
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NPI Number | 1679646236
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Entity Type | Organization
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Legal Business Name | NAEELA CHAUDRY PH.D., PA
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | 321 N HIGHLAND AVE
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City | SHERMAN
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State | TX
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Zip | 75092-7378
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Country | US
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Telephone | 903-361-0486
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Fax | 903-361-5097
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Provider Business Mailing Address
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Address Line | 5321 STONEBRIAR CIR
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City | DURANT
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State | OK
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Zip | 74701-1702
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Country | US
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Telephone | 903-361-0486
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Fax | 903-361-5097
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NAEELA MAJID CHAUDRY
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Credential | PH.D
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Telephone | 903-361-0486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 32660
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License Number State | TX
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