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General NPI Number Information
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NPI Number | 1023325693
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Entity Type | Individual
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Provider Name | CONNIE LAFAVE GALLUPE M.S.
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Gender | Female
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 113 W MILES AVE
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City | KINGFISHER
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State | OK
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Zip | 73750-2645
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Country | US
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Telephone | 405-375-7270
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 COLEMAN TRL
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City | KINGFISHER
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State | OK
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Zip | 73750-4506
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Country | US
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Telephone | 405-375-7270
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3520
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License Number State | OK
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