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General NPI Number Information
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NPI Number | 1164028395
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Entity Type | Organization
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Legal Business Name | DHP CENTERS HARRAH LLC
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Dates
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Enumeration Date | 12/11/2020
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Last Update Date | 12/18/2020
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Provider Practice Location Address
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Address Line | 1940 CHURCH AVE
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City | HARRAH
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State | OK
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Zip | 73045-9732
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Country | US
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Telephone | 870-725-4700
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Fax | 870-444-5241
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Provider Business Mailing Address
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Address Line | 101 W MAIN ST STE 200
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City | EL DORADO
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State | AR
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Zip | 71730-5654
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Country | US
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Telephone | 870-725-4700
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Fax | 870-444-5241
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | LARRY C PRESTON
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Credential |
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Telephone | 870-725-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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