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General NPI Number Information
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NPI Number | 1972636512
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Entity Type | Individual
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Provider Name | BRIAN C. ESS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 202 E 2ND AVE STE 105
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City | OWASSO
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State | OK
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Zip | 74055-3131
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Country | US
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Telephone | 539-202-6480
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Fax | 539-424-3025
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Provider Business Mailing Address
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Address Line | PO BOX 1333
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City | CLAREMORE
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State | OK
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Zip | 74018-1333
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Country | US
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Telephone | 539-202-6480
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Fax | 539-424-3025
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY-9235
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1267
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License Number State | OK
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