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General NPI Number Information
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NPI Number | 1831696269
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Entity Type | Organization
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Legal Business Name | JESSICA L. PLUMLEY, PH.D. PLLC
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | 1300 E 9TH ST STE 5
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City | EDMOND
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State | OK
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Zip | 73034-5760
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Country | US
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Telephone | 405-529-6065
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 W WILSHIRE BLVD
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City | NICHOLS HILLS
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State | OK
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Zip | 73116-4115
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Country | US
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Telephone | 405-922-1867
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | JESSICA PLUMLEY
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Credential | PH.D.
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Telephone | 405-922-1867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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