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General NPI Number Information
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NPI Number | 1841418183
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Entity Type | Organization
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Legal Business Name | NORUM ASSOCIATES
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1005 QUINCY ST
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City | PARKERSBURG
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State | WV
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Zip | 26101-4809
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Country | US
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Telephone | 304-485-8167
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 QUINCY ST
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City | PARKERSBURG
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State | WV
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Zip | 26101-4809
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Country | US
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Telephone | 304-485-8167
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARY A NORUM
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Credential | PH.D.
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Telephone | 304-485-8167
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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 | 064
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License Number State | WV
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