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General NPI Number Information
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NPI Number | 1750742649
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Entity Type | Organization
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Legal Business Name | THE OAKS PSYCHOLOGICAL GROUP
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Dates
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Enumeration Date | 03/19/2016
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Last Update Date | 03/19/2016
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Provider Practice Location Address
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Address Line | 31200 VIA COLINAS 100
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3939
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Country | US
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Telephone | 888-785-0703
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Fax |
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Provider Business Mailing Address
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Address Line | 31200 VIA COLINAS 100
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3939
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. STEPHEN BALL
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Credential | PSY.D.
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Telephone | 888-785-0703
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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 | PSB94022347
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License Number State | CA
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