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General NPI Number Information
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NPI Number | 1134356686
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Entity Type | Individual
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Provider Name | MARY LOUISE STINSON LPC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2009
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 2524 N BROADWAY
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City | EDMOND
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State | OK
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Zip | 73034-4172
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Country | US
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Telephone | 405-655-0100
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Fax | 405-655-5833
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Provider Business Mailing Address
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Address Line | 2524 N BROADWAY
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City | EDMOND
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State | OK
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Zip | 73034-4172
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Country | US
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Telephone | 405-655-0100
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Fax | 405-655-5833
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 5063
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5063
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License Number State | OK
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