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General NPI Number Information
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NPI Number | 1699141127
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Entity Type | Individual
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Provider Name | VALERIE OGBORN PHD
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Gender | Female
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 11/20/2017
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Provider Practice Location Address
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Address Line | 7618 N LA CHOLLA BLVD
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City | TUCSON
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State | AZ
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Zip | 85741-4201
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Country | US
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Telephone | 520-982-4544
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Fax |
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Provider Business Mailing Address
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Address Line | 12744 N LANTERN WAY
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City | ORO VALLEY
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State | AZ
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Zip | 85755-8999
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Country | US
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Telephone | 520-982-4544
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | T-LP 2437
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4890
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License Number State | AZ
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