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General NPI Number Information
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NPI Number | 1063779585
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Entity Type | Organization
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Legal Business Name | PROOF POSITIVE INC.
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 04/20/2012
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Provider Practice Location Address
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Address Line | 3625 EASTMAN DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-1439
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Country | US
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Telephone | 405-948-0345
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Fax |
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Provider Business Mailing Address
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Address Line | 3625 EASTMAN DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-1439
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Country | US
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Telephone | 405-948-0345
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | CHERYL COY
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Credential |
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Telephone | 405-948-0345
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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 | 4400
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License Number State | OK
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