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General NPI Number Information
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NPI Number | 1013612332
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Entity Type | Individual
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Provider Name | ALBERT L MAY
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Gender | Male
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Dates
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Enumeration Date | 04/04/2023
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 906 E 1ST ST
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City | CHANDLER
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State | OK
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Zip | 74834-2404
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Country | US
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Telephone | 405-258-3033
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Fax | 405-258-3011
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Provider Business Mailing Address
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Address Line | 341223 E HOPE CIR S
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City | CHANDLER
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State | OK
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Zip | 74834-6673
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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 |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11428
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License Number State | OK
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