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General NPI Number Information
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NPI Number | 1043924962
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Entity Type | Organization
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Legal Business Name | AMBER WALTER LLC
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Dates
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Enumeration Date | 01/06/2023
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 2525 NW EXPRESSWAY
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-7227
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Country | US
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Telephone | 918-404-8299
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Fax |
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Provider Business Mailing Address
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Address Line | 2537 NW 56TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-7140
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Country | US
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Telephone | 918-404-8299
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | AMBER WALTER
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Credential |
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Telephone | 918-404-8299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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