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General NPI Number Information
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NPI Number | 1114716032
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Entity Type | Organization
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Legal Business Name | THERAPY OXFORD LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 304 MURRAY ST
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City | OXFORD
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State | MS
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Zip | 38655-2912
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Country | US
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Telephone | 662-816-3453
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Fax | 662-238-4122
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Provider Business Mailing Address
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Address Line | 304 MURRAY ST
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City | OXFORD
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State | MS
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Zip | 38655-2912
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Country | US
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Telephone | 662-816-3453
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Fax |
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Authorized Official
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Title or Position | BILLING
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Name | KIM UNDERWOOD
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Credential |
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Telephone | 662-550-1812
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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 |
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License Number State |
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