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General NPI Number Information
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NPI Number | 1003460866
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Entity Type | Organization
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Legal Business Name | DEBRA PETRY SMITH, M.A., LPC
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 2500 MCGEE DR STE 108
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City | NORMAN
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State | OK
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Zip | 73072-6705
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Country | US
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Telephone | 918-894-2745
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Fax |
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Provider Business Mailing Address
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Address Line | 704 ELMWOOD DR
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City | NORMAN
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State | OK
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Zip | 73072-6117
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Country | US
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Telephone | 918-894-2745
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEBRA SMITH
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Credential | LPC
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Telephone | 918-894-2745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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