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General NPI Number Information
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NPI Number | 1144616061
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Entity Type | Organization
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Legal Business Name | HEART THERAPY
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Dates
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Enumeration Date | 04/07/2015
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Last Update Date | 04/07/2015
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Provider Practice Location Address
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Address Line | 711 W. MAIN ST.
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City | NORMAN
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State | OK
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Zip | 73069
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Country | US
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Telephone | 405-618-7877
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Fax |
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Provider Business Mailing Address
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Address Line | 503 N UNIVERSITY BLVD
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City | NORMAN
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State | OK
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Zip | 73069-7052
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Country | US
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Telephone | 405-618-7877
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Fax |
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Authorized Official
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Title or Position | ART THERAPIST
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Name | BETHANY M. BEINKE
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Credential | LPC, ATR-BC
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Telephone | 405-618-7877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 4586
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License Number State | OK
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