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General NPI Number Information
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NPI Number | 1831528678
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Entity Type | Organization
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Legal Business Name | ASSESSMENT AND CONSULTATION SERVICES, PC
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 11/02/2013
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Provider Practice Location Address
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Address Line | 6003 N ROBINSON AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-7425
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Country | US
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Telephone | 405-843-2539
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Fax |
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Provider Business Mailing Address
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Address Line | 6003 N ROBINSON AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-7425
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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 | OWNER
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Name | STEPHANIE CRALL
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Credential | PH.D.
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Telephone | 405-843-2539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 928
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License Number State | OK
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