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General NPI Number Information
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NPI Number | 1043356983
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Entity Type | Individual
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Provider Name | JUNE MARIE MELTON LPC
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 3362 N 367 RD
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City | HOLDENVILLE
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State | OK
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Zip | 74848-9473
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Country | US
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Telephone | 405-221-2610
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 186
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City | HOLDENVILLE
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State | OK
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Zip | 74848-0186
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Country | US
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Telephone | 405-221-2610
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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 | 2340
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License Number State | OK
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