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General NPI Number Information
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NPI Number | 1093654899
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Entity Type | Organization
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Legal Business Name | GUARDIAN KARE RESIDENTIAL SUITES CORP
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 901 NW 25TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-5619
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Country | US
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Telephone | 405-768-8311
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Fax |
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Provider Business Mailing Address
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Address Line | 3704 OAK GROVE DR
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City | MIDWEST CITY
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State | OK
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Zip | 73110-3730
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Country | US
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Telephone | 405-408-7029
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMALA HUBBARD
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Credential |
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Telephone | 405-408-7029
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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 |
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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