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General NPI Number Information
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NPI Number | 1801069299
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Entity Type | Organization
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Legal Business Name | JANET M. SPRADLIN, PH.D. PC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 12/22/2010
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Provider Practice Location Address
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Address Line | 1000 N LEE AVE # 6188
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-1036
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Country | US
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Telephone | 405-272-6554
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Fax | 405-231-8759
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Provider Business Mailing Address
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Address Line | 23301 BOB WHITE DR
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City | EDMOND
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State | OK
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Zip | 73025-9443
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Country | US
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Telephone | 405-272-6554
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Fax | 405-231-8759
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JANET M. SPRADLIN
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Credential | PH.D.
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Telephone | 405-272-6554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 674
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License Number State | OK
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