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General NPI Number Information
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NPI Number | 1083155642
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Entity Type | Organization
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Legal Business Name | BELINDA G. CROSIER, PLLC
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 4117 NW 122ND ST SUITE C
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8869
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Country | US
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Telephone | 405-203-9551
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Fax | 405-242-2118
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Provider Business Mailing Address
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Address Line | 152 DEER CREEK RD
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City | EDMOND
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State | OK
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Zip | 73012-9317
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Country | US
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Telephone | 405-203-9551
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Fax | 405-242-2118
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | BELINDA G CROSIER
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Credential | LPC, LADC
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Telephone | 405-203-9551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LPC 2542
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License Number State | OK
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