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General NPI Number Information
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NPI Number | 1023451572
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Entity Type | Individual
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Provider Name | TAMMI ELAINE YOUNG M.A. LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 05/17/2013
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Provider Practice Location Address
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Address Line | 3140 W BRITTON RD SUITE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-2074
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Country | US
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Telephone | 405-795-0807
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Fax |
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Provider Business Mailing Address
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Address Line | 3140 WEST BRITTON ROAD SUITE 200
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City | OKLAHOMA
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State | OK
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Zip | 73120
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Country | US
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Telephone | 405-795-0807
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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 | 1057
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License Number State | OK
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