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General NPI Number Information
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NPI Number | 1073996815
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Entity Type | Individual
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Provider Name | CHRISTINA M POWELL
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Gender | Female
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Dates
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Enumeration Date | 06/29/2015
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1313 N 16TH AVE
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City | DURANT
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State | OK
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Zip | 74701-2134
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Country | US
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Telephone | 580-634-2332
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Fax | 580-634-2338
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Provider Business Mailing Address
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Address Line | 1313 N 16TH AVE
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City | DURANT
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State | OK
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Zip | 74701-2134
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Country | US
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Telephone | 580-634-2332
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Fax | 580-634-2338
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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 | OK
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC06456
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License Number State | OK
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