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General NPI Number Information
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NPI Number | 1023790896
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Entity Type | Organization
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Legal Business Name | SUB ROSA MENTAL SERVICES
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 14674 U.S. 169
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City | OOLOGAH
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State | OK
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Zip | 74053
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Country | US
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Telephone | 808-452-2515
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Fax |
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Provider Business Mailing Address
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Address Line | 14019 S WILLOW DR
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City | OOLOGAH
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State | OK
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Zip | 74053-3982
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Country | US
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Telephone | 808-452-2515
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH PROVIDER
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Name | MR. SHILOH MARTIN
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Credential | LPC
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Telephone | 808-452-2515
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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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