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General NPI Number Information
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NPI Number | 1043208861
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Entity Type | Individual
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Provider Name | PM MARKIE MCCOY DCSW LSW LMFT BCD
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Gender | Female
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3600 W SIMMONS RD
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City | EDMOND
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State | OK
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Zip | 73034-8163
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Country | US
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Telephone | 405-348-3655
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Fax | 405-348-7208
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Provider Business Mailing Address
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Address Line | 812 DRIPPING SPRINGS DR
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City | EDMOND
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State | OK
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Zip | 73034-8763
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Country | US
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Telephone | 405-348-3655
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Fax | 405-348-7208
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LCSW231
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT110
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License Number State | OK
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