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General NPI Number Information
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NPI Number | 1043456460
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Entity Type | Individual
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Provider Name | KRISTI SCHULENBURG
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Gender | Female
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 1404 NIGHTHAWK DR
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City | EDMOND
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State | OK
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Zip | 73034-6111
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Country | US
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Telephone | 405-210-4614
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Fax | 405-340-5083
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Provider Business Mailing Address
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Address Line | 1404 NIGHTHAWK DR.
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City | EDMOND
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State | OK
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Zip | 73034-6111
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Country | US
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Telephone | 405-210-4614
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Fax | 405-340-5083
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2151
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0206
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License Number State | OK
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