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General NPI Number Information
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NPI Number | 1124484530
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Entity Type | Organization
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Legal Business Name | FULL CIRCLE COUNSELING
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Dates
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Enumeration Date | 01/14/2016
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 2329 NW 55TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-7718
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Country | US
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Telephone | 405-590-5350
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 NW EXPRESSWAY SUITE 400
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-1802
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | AMY M WRIGHT
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Credential |
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Telephone | 405-590-5350
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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 | 5955
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License Number State | OK
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