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General NPI Number Information
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NPI Number | 1154673218
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Entity Type | Organization
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Legal Business Name | ABA-OK-CONSULTING LLC
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Dates
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Enumeration Date | 10/12/2012
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 515 S. SANTA FE, SUITE 103
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City | EDMOND
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State | OK
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Zip | 73003
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Country | US
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Telephone | 405-458-0511
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Fax | 405-384-8593
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Provider Business Mailing Address
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Address Line | 515 S. SANTA FE, SUITE 103
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City | EDMOND
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State | OK
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Zip | 73003
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Country | US
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Telephone | 405-458-0511
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Fax | 405-384-8593
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Authorized Official
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Title or Position | PRACTICE MANAGER/ B.T. SUPERVISOR
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Name | MARGARITA PATRICIA NUHFER
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Credential |
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Telephone | 405-458-0511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-09-5038
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License Number State | OK
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