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General NPI Number Information
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NPI Number | 1053600528
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Entity Type | Individual
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Provider Name | ALISHA DINKINS LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 6216 S LEWIS AVE STE 103
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City | TULSA
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State | OK
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Zip | 74136-1017
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Country | US
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Telephone | 918-810-9635
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Fax | 539-202-5005
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Provider Business Mailing Address
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Address Line | 10302 E 71ST ST # 1029
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City | TULSA
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State | OK
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Zip | 74133-3207
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Country | US
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Telephone | 918-810-9635
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Fax | 539-202-5005
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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 |
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License Number State |
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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 | 5373
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License Number State | OK
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