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General NPI Number Information
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NPI Number | 1164755724
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Entity Type | Organization
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Legal Business Name | QUARTZ RESORT SEVERCIES
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 7932 NICHOLSON DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-5539
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Country | US
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Telephone | 405-728-1173
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Fax |
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Provider Business Mailing Address
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Address Line | 7932 NICHOLSON DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-5539
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Country | US
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Telephone | 405-728-1173
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GLEN KNIGHT WALLACE
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Credential |
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Telephone | 405-728-1173
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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 |
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License Number State |
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