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General NPI Number Information
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NPI Number | 1720589567
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Entity Type | Organization
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Legal Business Name | JOHN HURLEY PH D PLLC
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 03/08/2018
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Provider Practice Location Address
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Address Line | 3750 W MAIN ST STE AA
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City | NORMAN
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State | OK
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Zip | 73072-4663
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Country | US
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Telephone | 405-308-0638
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 721063
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City | NORMAN
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State | OK
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Zip | 73070-4821
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Country | US
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Telephone | 405-308-0638
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN HURLEY
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Credential | PHD
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Telephone | 405-308-0638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1037
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License Number State | OK
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