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General NPI Number Information
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NPI Number | 1093068926
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Entity Type | Organization
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Legal Business Name | INSTILLING HOPE LLC
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 2312 N BROOKLINE AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73107-3128
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Country | US
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Telephone | 405-225-1891
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Fax |
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Provider Business Mailing Address
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Address Line | 2312 N BROOKLINE AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73107-3128
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Country | US
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Telephone | 405-225-1891
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. LEA L MAY
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Credential | M.S. LMFT RPT
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Telephone | 405-831-4677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1065
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License Number State | OK
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