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General NPI Number Information
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NPI Number | 1194518332
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Entity Type | Organization
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Legal Business Name | JULANE SWYDEN LPC PLLC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 1300 E 15TH ST STE 130
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City | EDMOND
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State | OK
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Zip | 73013-5051
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Country | US
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Telephone | 405-550-5467
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 MORNING STAR
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City | EDMOND
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State | OK
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Zip | 73034-6576
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Country | US
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Telephone | 405-550-5467
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULANE SWYDEN
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Credential |
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Telephone | 405-550-5467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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