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General NPI Number Information
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NPI Number | 1073957619
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Entity Type | Organization
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Legal Business Name | INTEGRITY COUNSELING & CONSULTING SERVICES LLC
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 1601 MEDICAL CENTER DR SUITE 10
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City | EDMOND
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State | OK
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Zip | 73034-6359
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Country | US
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Telephone | 405-513-6340
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Fax | 405-513-6340
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Provider Business Mailing Address
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Address Line | 1601 MEDICAL CENTER DR SUITE 10
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City | EDMOND
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State | OK
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Zip | 73034-6359
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Country | US
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Telephone | 405-513-6340
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Fax | 405-726-8985
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Authorized Official
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Title or Position | DIRECTOR OF COUNSELING
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Name | MS. CAROLYN S NORMAN
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Credential | LPC
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Telephone | 405-513-6340
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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 | 4561
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License Number State | OK
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